Individual
MRS. SANDRA KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1752 E BULLARD AVE STE 101, FRESNO, CA 93710-5864
(559) 970-8277
Mailing address
1429 W WARNER AVE, FRESNO, CA 93711-1455
(559) 470-8655
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA5322
CA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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