Individual
BRIAN VINCENT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1030 W WARNER AVE, SANTA ANA, CA 92707-3147
(714) 834-6900
Mailing address
1941 W LA VETA AVE APT 223, ORANGE, CA 92868-4168
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95085518
CA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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