Individual
DAISY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/08/2023
Last updated
06/04/2024
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