Individual
MS. AIDA MONIKA MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 E AMERICAN AVE, FRESNO, CA 93725-9235
(559) 495-3811
Mailing address
3718 W VINCENT LN, FRESNO, CA 93711-4106
(559) 681-3089
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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