JULIAN MOONLIGHTT

MODESTO, CA
NPI1497614358
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: CA  1639965189)
Enumeration Date2026-01-16
Last Update Date2026-01-16
Business Address
JULIAN MOONLIGHTT
111 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-408-8848
Mailing Address
JULIAN MOONLIGHTT
1202 H ST
MODESTO, CA 95354-2443
Phone number: 209-681-6164