Individual
MARYLOU MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3471 DRIFTWOOD DR, SANTA MARIA, CA 93455-2824
(951) 591-5731
Mailing address
9895 SYCAMORE CANYON RD, MORENO VALLEY, CA 92557-1802
(951) 591-5731
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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