Individual
WILLIE JUNIOR MOYER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3055 E ESCOBA DR, PALM SPRINGS, CA 92264-5522
(336) 423-2576
Mailing address
3055 E ESCOBA DR, PALM SPRINGS, CA 92264-5522
(336) 423-2576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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