Individual
ALISIA ANTONETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT, CNMT, MMT
Contact information
Practice address
3160 ARDEN WAY, SACRAMENTO, CA 95825-3700
(916) 296-7348
Mailing address
6090 S LAND PARK DR APT 41, SACRAMENTO, CA 95822-3344
(916) 296-7348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
88705
CA
Other
Enumeration date
12/21/2021
Last updated
03/03/2025
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