Individual
MRS. GENEVA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(714) 680-9000
(714) 680-8207
Mailing address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(714) 680-9000
(714) 680-8207
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
07/30/2014
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