Individual
OLIVIA SUNSHYNE MOSCOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 MAUCHLY STE A, IRVINE, CA 92618-2390
(949) 727-3315
Mailing address
224 MONTANA DEL LAGO DR, RANCHO SANTA MARGARITA, CA 92688-1356
(949) 633-4474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6294
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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