Individual
MR. JASON ALBERT MORETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 S COUNTRY CLUB DR, MESA, AZ 85210-5130
(480) 831-6585
Mailing address
6136 E MCLELLAN RD, MESA, AZ 85205-3602
(480) 218-1282
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T018526
AZ
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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