CALLEN DALE MOON

SACRAMENTO, CA
NPI1306707435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-11-19
Last Update Date2025-11-19
Business Address
CALLEN DALE MOON
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 559-760-1874
Mailing Address
CALLEN DALE MOON
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: