Individual
JESSICA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3718 DUCK CREEK DR, GARLAND, TX 75043-2962
(469) 685-6374
Mailing address
3718 DUCK CREEK DR, GARLAND, TX 75043-2962
(469) 685-6374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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