Individual
MRS. EILEEN FRANCES MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E STATE ST, REDLANDS, CA 92373-5237
(909) 798-1930
Mailing address
3985 LA HACIENDA DR, SAN BERNARDINO, CA 92404-2040
(909) 754-5029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25537
CA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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