Individual
MR. ALEX RENE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
2539 PALM PL, HUNTINGTON PARK, CA 90255-6620
(213) 353-1140
Mailing address
2539 PALM PL, HUNTINGTON PARK, CA 90255-6620
(213) 353-1140
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
251414
CA
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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