Individual
DESIREE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5801
(209) 456-5801
Mailing address
401 S AIRPORT WAY, MANTECA, CA 95337-8426
(209) 456-5801
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42676
CA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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