Individual
RICARDO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC CSCS
Contact information
Practice address
7110 E MCKELLIPS RD, MESA, AZ 85207-1908
(480) 654-7726
Mailing address
1090 N NANTUCKET CT, CHANDLER, AZ 85225-1579
(480) 250-3897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0281
AZ
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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