Individual
MS. BAMUMA RAECHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S APRILIA AVE, COMPTON, CA 90220-3423
(323) 427-9790
Mailing address
720 S APRILIA AVE, COMPTON, CA 90220-3423
(323) 427-9790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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