LARRY DWAYNE MOSS

MARTINEZ, CA
NPI1821640400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  347953)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
LARRY DWAYNE MOSS LVN
150 MUIR RD
MARTINEZ, CA 94553-4668
Phone number: 808-351-2054
Mailing Address
LARRY DWAYNE MOSS LVN
2100 W TEXAS ST APT 136
FAIRFIELD, CA 94533-4472
Phone number: 808-351-2054
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