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Individual
JENNIFER GAYLE MORENO
Active
Individual
JENNIFER GAYLE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
740023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
740023
STATE OF CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
06/08/2010
Last updated
01/12/2012
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