Individual
DR. CAMILLA SUSAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
144 WATERMAN ST, SUITE 2, PROVIDENCE, RI 02906-2126
(401) 396-2010
(410) 466-4050
Mailing address
17 BURNSIDE ST, BRISTOL, RI 02809-2003
(617) 669-3008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3187
MA
Other
Enumeration date
05/05/2008
Last updated
04/15/2012
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