Individual
REGINO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9425 IRENE AVE, CALIFORNIA CITY, CA 93505-1216
(181) 841-5170
Mailing address
9425 IRENE AVE, CALIFORNIA CITY, CA 93505-1216
(818) 415-1708
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80229
CA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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