MR. Dominic J Moore

NPI #1912669847 in Indio, California

Provider Information

NPI Number: 1912669847
Entity Type: Individual
Name: MR. Dominic J Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 7, 2021
Last Updated: May 10, 2023

Practice Location

Address: 44199 MONROE ST
City: Indio
State: California
ZIP Code: 92201-3096
Phone: (760) 863-8341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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