LESLIE JEROME MOORE

DOWNEY, CA
NPI1508563271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
LESLIE JEROME MOORE
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
Mailing Address
LESLIE JEROME MOORE
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894