Mr. Dominic J Moore
Mr. Dominic J Moore is a Peer Specialist in Indio, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
44199 Monroe StIndio, CA 92201-3096
Phone: (760) 863-8341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence GKJBRVZWLCYMONP (CA) |
|---|
Record details
| NPI number | 1912669847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 7, 2021 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
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