NPI | 1689406688 |
---|---|
Former Legal Business Name | MOTO FUJII PSYD |
Entity Type | Organization |
Authorized Contact | JAYLENE BOOTH Billing 805-441-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2024-08-17 |
Last Update Date | 2024-08-17 |