SUSAN MICHELLE MOULTRIE

CERRITOS, CA
NPI1629352901
Former NameSUSAN MICHELLE MOULTRIE-JOINER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  420583)
Enumeration Date2011-10-04
Last Update Date2016-10-13
Business Address
Ms. SUSAN MICHELLE MOULTRIE
12900 PARK PLAZA DR
CERRITOS, CA 90703-9329
Phone number: 866-646-3553
Mailing Address
Ms. SUSAN MICHELLE MOULTRIE
707 E OCEAN BLVD APT 402
LONG BEACH, CA 90802-5027
Phone number: 770-712-3049
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