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Individual

NICOLE MOITOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6636 WAVERLY CT, SACRAMENTO, CA 95842-2145
(916) 849-6669
Mailing address
6636 WAVERLY CT, SACRAMENTO, CA 95842-2145
(916) 849-6669

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2860
CA

Other

Enumeration date
07/20/2014
Last updated
03/27/2019
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