Individual
DAVID MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1568 6TH AVE, SAN DIEGO, CA 92101-3216
(619) 235-2600
Mailing address
1568 6TH AVE, SAN DIEGO, CA 92101-3216
(619) 235-2600
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 25316
CA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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