Individual
JENIFFER MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(562) 801-0318
Mailing address
4501 N BELLFLOWER BLVD, APT 4, LONG BEACH, CA 90808-1252
(562) 209-6441
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
267640
CA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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