Individual
DARRYL ANTHONY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 S OAK KNOLL AVE, #210, PASADENA, CA 91101-3419
(626) 577-1215
(626) 844-6765
Mailing address
9612 S DENKER AVE, LOS ANGELES, CA 90047-3960
(323) 757-0373
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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