Individual
JOHN DAVID MOOCHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 274-0299
Mailing address
258 N BLACKSTONE AVE, FRESNO, CA 93701-1913
(559) 274-0299
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95050583
CA
Other
Enumeration date
06/12/2015
Last updated
06/16/2015
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