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Organization

MOAI

Active
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Organization

MOAI

Active
Other names
MOAI
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG FOWLER (OWNER)
(916) 844-5250
Entity
Organization

Contact information

Practice address
2633 CARDINAL CT, CARMICHAEL, CA 95608-4740
(916) 844-5250
Mailing address
2633 CARDINAL CT, CARMICHAEL, CA 95608-4740
(916) 844-5250

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/02/2023
Last updated
10/10/2023
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