Diane Marie Moulton, MSED

NPI #1053673061 in Fairport, New York

Provider Information

NPI Number
1053673061
Entity Type
Individual
Name
Diane Marie Moulton, MSED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MSED
Enumeration Date
Jun 14, 2012
Last Updated
Jun 14, 2012

Practice Location

Address
149 N MAIN ST
ZIP Code
14450-1434
Phone
(585) 377-2230

Specialties & Taxonomy Codes

Specialty
Specialist

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