ELISE GENEVIEVE MOORE, MFTI
Student, Health Care at Balboa Blvd, Van Nuys, CA

License number
California 92930
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address 2
5535 Balboa Blvd STE 110, Van Nuys, CA 91316
2790 Skypark Dr STE 215, Torrance, CA 90505
Phone
(310) 855-3990
(424) 276-7676 (Fax)
National Provider ID: 1154830552
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Elise Moore, age 41
5407 Colfax Ave APT 313, North Hollywood, CA 91601
Elise Moore
PO Box 656, Oakdale, CA 95361
Elise Moore
325 N Oakhurst Dr, Beverly Hills, CA 90210
Elise Moore, age 40
25488 Via Dalia, Valencia, CA 91355
Elise Moore
332 Farallon Ave, Pacifica, CA 94044

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