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Marissa Moore
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1811755937

Marissa Moore is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Marissa Moore practices in San Diego, CA. The NPI Number for Marissa Moore is 1811755937 and holds a License No. (California).

The current practice location address for Marissa Moore is 1963 4Th Ave, San Diego, CA and can be reached out via phone at 619-233-3432 and via fax at 619-233-7022.

Location: 1963 4Th Ave, San Diego, CA, 92101-2394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811755937
Provider Name
Marissa Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1963 4Th Ave, San Diego, CA, 92101-2394
Phone Number
619-233-3432
Fax Number
619-233-7022
Provider Enumeration Date
03/12/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1963 4Th Ave
City
San Diego
State
California
Zip
92101-2394
Phone Number
619-233-3432
Fax Number
619-233-7022
person
Provider Business Mailing Address Details
Address
1963 4Th Ave
City
San Diego
State
California
Zip
92101-2394
Phone Number
619-233-3432
Fax Number
619-233-7022
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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