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Individual

DAVID W MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26552 SADDLEHORN LN, LAGUNA HILLS, CA 92653-5733
(949) 348-2615
Mailing address
26552 SADDLEHORN LN, LAGUNA HILLS, CA 92653-5733
(949) 348-2615

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT 46427
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RHT 46427
STATE LICENSE
CA
Enumeration date
07/20/2007
Last updated
07/20/2007
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