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Individual
GLADYS EDITH MORENO
Active
Individual
GLADYS EDITH MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
803346
CA
363LF0000X
Family Nurse Practitioner
Primary
95015103
CA
Other
Enumeration date
12/17/2018
Last updated
05/01/2023
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