SUSAN MICHELLE MOULTRIE

VICTORVILLE, CA
NPI1629352901
Former NameSUSAN MICHELLE MOULTRIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  12560)
Enumeration Date2011-10-04
Last Update Date2024-10-31
Business Address
Ms. SUSAN MICHELLE MOULTRIE Nurse Practitioner
12830 HESPERIA RD STE CDE
VICTORVILLE, CA 92395-7788
Phone number: 760-684-8999
Mailing Address
Ms. SUSAN MICHELLE MOULTRIE Nurse Practitioner
4800 CITRUS AVE APT 5104
FONTANA, CA 92336
Phone number: 770-712-3049
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