Individual
ZENINAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 RUFFNER ST STE 270, SAN DIEGO, CA 92111-2276
(800) 787-6787
Mailing address
182 S WILDWOOD, HERCULES, CA 94547-3586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2962
CA
225200000X
Physical Therapy Assistant
—
CA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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