Individual
CAROLINE MARTIN MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3851 GOLDEN MEADOW CT, AMELIA, OH 45102-2635
(513) 328-1527
Mailing address
3851 GOLDEN MEADOW CT, AMELIA, OH 45102-2635
(513) 328-1527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006992
OH
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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