Individual
MARICELA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF ARTS
Contact information
Practice address
9890 COUNTY FARM RD STE 3, RIVERSIDE, CA 92503-3678
(951) 509-8320
(951) 509-8322
Mailing address
2010 W JEFFERSON ST, BANNING, CA 92220-4217
(562) 587-7075
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/31/2023
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