Individual
MS. STEPHANIE E MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
870 SHASTA AVE, MORRO BAY, CA 93442-1933
(805) 772-3277
(805) 772-3831
Mailing address
870 SHASTA AVE, MORRO BAY, CA 93442-1933
(805) 772-3277
(805) 772-3831
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU406
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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