Individual
TYRONE DARIAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1527 E MAIN ST, EL CAJON, CA 92021-5902
(619) 971-3464
(619) 442-0457
Mailing address
1527 E MAIN ST, EL CAJON, CA 92021-5902
(619) 971-3464
(619) 442-0457
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
AZITGU
CA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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