Individual
MINNIE MOISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 M ST, MERCED, CA 95340-2808
(209) 723-4224
Mailing address
354 W EL PORTAL DR, MERCED, CA 95348-2845
(209) 777-5171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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