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Individual

CLAUDIA A MORENO NUNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9319 SAN ANTONIO AVE, SOUTH GATE, CA 90280-4529
(323) 793-1128
Mailing address
9319 SAN ANTONIO AVE, SOUTH GATE, CA 90280-4529
(323) 793-1128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95010890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95010890
NURSE PRACTITIONER
CA
Enumeration date
01/24/2019
Last updated
10/24/2021
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