Most Relevant Information
Provider Data
| NPI Number: | 1003262858 |
| Provider Name: | ASHLEE MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2016 |
| Last Updated: | 05/11/2016 |
Provider Practice Location
2050 YOUTH WAY BLDG 1
FULLERTON
CA
928353819
Practice Location Phone/Fax
| Phone: | 7149534455 |
| Fax: |
Provider Mailing Location
2509 KINCAID DR APT 205
COSTA MESA
CA
926266739
Provider Mailing Phone/Fax
| Phone: | 7077998723 |
| Fax: |