Individual
TAMMY MAE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
20245 N 32ND DR APT 239, PHOENIX, AZ 85027-0310
(623) 693-9613
Mailing address
20245 N 32ND DR APT 239, PHOENIX, AZ 85027-0310
(623) 693-9613
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
005140
AZ
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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