Individual
BRYCEN JAMES BETTENCOURT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 UNIVERSITY AVE, SACRAMENTO, CA 95825-6726
(916) 333-5800
Mailing address
8126 ANASTASIA WAY, EL DORADO HILLS, CA 95762-3978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298530
CA
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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