Individual
ASHLEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 YOUTH WAY BLDG 1, FULLERTON, CA 92835-3819
(714) 953-4455
Mailing address
2509 KINCAID DR APT 205, COSTA MESA, CA 92626-6739
(707) 799-8723
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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