Individual
DEIRDRE T MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 SUNNYCREST DR, SUITE 2300, FULLERTON, CA 92835-3638
(714) 870-4772
Mailing address
207 W CRYSTAL VIEW AVE, ORANGE, CA 92865-2212
(951) 440-1501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
18199
CA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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