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Individual

JOSE M MORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
765 AILERON AVE, LA PUENTE, CA 91744-3044
(323) 559-1332
Mailing address
765 AILERON AVE, LA PUENTE, CA 91744-3044

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
171400000X
Health & Wellness Coach
172V00000X
Community Health Worker
173C00000X
Reflexologist
174H00000X
Health Educator
225700000X
Massage Therapist
Primary
99775
CA

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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