Most Relevant Information
Provider Data
| NPI Number: | 1003430273 |
| Provider Name: | STEFANIE MOYE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2020 |
| Last Updated: | 06/03/2020 |
Provider Practice Location
77202 CALLE FLORA
LA QUINTA
CA
922532563
Practice Location Phone/Fax
| Phone: | 3104694051 |
| Fax: |
Provider Mailing Location
77202 CALLE FLORA
LA QUINTA
CA
922532563
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |