FERNANDO LUIS MOULTON

PERRIS, CA
NPI1134546617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-03-24
Last Update Date2014-03-24
Business Address
-- FERNANDO LUIS MOULTON
1688 PERRIS BLVD, SUITE L6-11
PERRIS, CA 92571
Phone number: 951-443-2200
Mailing Address
-- FERNANDO LUIS MOULTON
1720 BENTON WAY
PERRIS, CA 92571-3891
Phone number: 951-707-8587