Individual
ANNMARIE ALEXUS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C MSPA
Contact information
Practice address
43821 15TH ST W, LANCASTER, CA 93534-4756
(661) 670-9814
Mailing address
43821 15TH ST W, LANCASTER, CA 93534-4756
(661) 670-9814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19356
CA
363A00000X
Physician Assistant
PA19356
CA
Other
Enumeration date
09/27/2007
Last updated
10/15/2024
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