Fernando Luis Moulton
NPI #1134546617 in Perris, California
Provider Information
- NPI Number
- 1134546617
- Entity Type
- Individual
- Name
- Fernando Luis Moulton
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Mar 24, 2014
Practice Location
- Address
- 1688 PERRIS BLVD, SUITE L6-11
- City
- Perris
- State
- California
- ZIP Code
- 92571
- Phone
- (951) 443-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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