DAMIAN DARRYL MOORE

SAN BERNARDINO, CA
NPI1992442552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  42031)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
DAMIAN DARRYL MOORE LPT
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 909-361-6470
Mailing Address
DAMIAN DARRYL MOORE LPT
5604 N E ST
SAN BERNARDINO, CA 92407-2626
Phone number: 909-341-3865
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