| Susan Moore | |
|
14 Heather Valley Rd Holland PA 18966-2630 | |
| (732) 539-4921 | |
| Not Available |
| Full Name | Susan Moore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Heather Valley Rd, Holland, Pennsylvania |
| Authorized Official Name and Position | Susan Moore (FITNESS CONSULTANT) |
| Authorized Official Contact | 7325394921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Moore 14 Heather Valley Rd Holland PA 18966-2630 Ph: (732) 539-4921 | Susan Moore 14 Heather Valley Rd Holland PA 18966-2630 Ph: (732) 539-4921 |
| NPI Number | 1609245893 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609245893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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