Individual
ERENDIDA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 993-3100
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4996
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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