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Individual

MS. FABIOLA MOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SP

Contact information

Practice address
3816 WOODRUFF AVE STE 201, LONG BEACH, CA 90808-2145
(562) 260-8627
Mailing address
3816 WOODRUFF AVE STE 201, LONG BEACH, CA 90808-2145
(562) 260-8627

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP8298
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007707559
AETNA PIN
CA
Enumeration date
09/29/2008
Last updated
04/08/2014
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