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Mr. Terry Lee Moffit
Contractor in San Bernardino, California
NPI 1407498942

Terry Lee Moffit is a Contractor based in San Bernardino, CA. Terry Lee Moffit practices in San Bernardino, CA. The NPI Number for Terry Lee Moffit is 1407498942 and holds a License No. (California).

The current practice location address for Terry Lee Moffit is 1165 W 15Th St, San Bernardino, CA and can be reached out via phone at 909-521-6876 and via fax at 909-495-1782. You can also correspond with Terry Lee Moffit through the mailing address at 1165 W 15TH ST, SAN BERNARDINO, CA - 92411-1811 (mailing address contact number: 909-521-6876).

Location: 1165 W 15Th St, San Bernardino, CA, 92411-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407498942
Provider Name
Terry Lee Moffit
Credential
Provider Entity Type
Individual
Gender
Male
Address
1165 W 15Th St, San Bernardino, CA, 92411-1811
Phone Number
909-521-6876
Fax Number
909-495-1782
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679524391 05 CA
institution
Provider Business Practice Location Address Details
Address
1165 W 15Th St
City
San Bernardino
State
California
Zip
92411-1811
Phone Number
909-521-6876
Fax Number
909-495-1782
person
Provider Business Mailing Address Details
Address
1165 W 15Th St
City
San Bernardino
State
California
Zip
92411-1811
Phone Number
909-521-6876
Fax Number
909-495-1782
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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