Provider Information for 1174825665
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Ms. SERAFINA MOUSHEL
Sex: Female
NPI: 1174825665
Last Updated: 2018-10-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1174825665 | ||||||||
| Enumeration Date | 2010-12-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 4036 WEST HILLS, CA 91308-4036 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 123 HODENCAMP RD STE 100 THOUSAND OAKS, CA 91360 United States Phone: 805-323-6870 | Fax: | ||||||||
| Secondary Practice Address(es) | 6800 OWENSMOUTH AVE | ||||||||
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