Individual
CLAUDIA MOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, PMA-CPT
Contact information
Practice address
3658 MT DIABLO BLVD STE 101, LAFAYETTE, CA 94549-6885
(925) 299-9642
Mailing address
3658 MT DIABLO BLVD STE 101, LAFAYETTE, CA 94549-6885
(925) 299-9642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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