Individual
HEATHER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
29 BOLINAS RD, FAIRFAX, CA 94930-1662
(510) 282-8466
Mailing address
240 SCENIC RD, FAIRFAX, CA 94930-1523
(510) 282-8466
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
7369
CA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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