Individual
ELIZABETH PAULINE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2022
(619) 478-5696
Mailing address
1777 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2022
(619) 478-5696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CMAC-5847
CA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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