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Individual
MS. ROSHEN MORENO
Active
Individual
MS. ROSHEN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX62660
MEDI-CAL
—
05
—
00AX62661
—
CA
01
—
020A62660
BLUE SHIELD OF CA
CA
Enumeration date
03/21/2006
Last updated
12/30/2007
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