BRYCE HART MOULTON

SAN PEDRO, CA
NPI1144820382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  14303-RAC)
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
Mr. BRYCE HART MOULTON 14303-RAC
132 W 10TH ST
SAN PEDRO, CA 90731-3702
Phone number: 310-514-4940
Mailing Address
Mr. BRYCE HART MOULTON 14303-RAC
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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