Individual
MRS. MICHELLE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDT
Contact information
Practice address
595 SW 10TH ST, MIAMI, FL 33130-3809
(786) 518-0015
Mailing address
595 SW 10TH ST, MIAMI, FL 33130-3809
(786) 518-0015
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
Primary
756
NY
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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