Individual
CITLALI METZLI MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17130 SEQUOIA ST STE 104, HESPERIA, CA 92345-1827
(562) 472-5246
Mailing address
4979 SMOKE TREE RD, PHELAN, CA 92371-8356
(442) 427-2418
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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