Individual
GRACE KEIKO MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10414 OLIVE ST, TEMPLE CITY, CA 91780-2862
(626) 362-4834
Mailing address
10414 OLIVE ST, TEMPLE CITY, CA 91780-2862
(626) 362-4834
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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