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Samantha Moore
NPI 1821541707 · on the registry since 2016
Practice
- Address
- 23083 Jensen Ct
Grand Terrace, CA 92313 - Phone
- (909) 894-8798
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California