GREGORY NEIL MOFFETT

VISTA, CA
NPI1124527015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  12297-R)
Enumeration Date2018-02-06
Last Update Date2018-02-06
Business Address
Mr. GREGORY NEIL MOFFETT
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
Mailing Address
Mr. GREGORY NEIL MOFFETT
504 W VISTA WAY
VISTA, CA 92083-5704
Phone number: 760-940-1836
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