Larry D Butler Sr.
Community Health Worker in Moreno Valley, CA. Individual provider (NPI-1).
NPI number1649023391
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1649023391
- Entity type
- Individual (NPI-1)
- Name
- Mr. Larry D Butler Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CA | Yes |
Practice location
12125 Day St Ste E303Moreno Valley, CA 92557-6704
Phone 951-247-1700
Mailing address
12125 Day St Ste E303Moreno Valley, CA 92557-6704
Phone 951-247-1700
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All 44 Community Health Worker providers in Moreno Valley · All 3,435 providers in Moreno Valley
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