Organization
SUSAN MOORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MOORE MA (FITNESS CONSULTANT)
(732) 539-4921
Entity
Organization
Contact information
Practice address
14 HEATHER VALLEY RD, HOLLAND, PA 18966-2630
(732) 539-4921
Mailing address
14 HEATHER VALLEY RD, HOLLAND, PA 18966-2630
(732) 539-4921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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