Individual
MOSES EWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 S SUNSET AVE STE 105, WEST COVINA, CA 91790-3410
(714) 709-3154
Mailing address
16212 BELLFLOWER BLVD APT 21, BELLFLOWER, CA 90706-4615
(562) 405-2446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017658
CA
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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