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Individual

SHELLY MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2641 S C ST, OXNARD, CA 93033-4502
(805) 487-7840
Mailing address
2641 S C ST, OXNARD, CA 93033-4502
(805) 487-7840

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044956
TX

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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