NPI | 1891087185 |
---|---|
Former Legal Business Name | DR. MICHAEL KEITH MOSELEY |
Entity Type | Organization |
Authorized Contact | MICHAEL KEITH MOSELEY President 661-236-6109 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA PSY12385) |
Enumeration Date | 2011-05-05 |
Last Update Date | 2011-05-05 |