Individual
JOEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(831) 406-0093
Mailing address
PO BOX 2313, SANTA CLARA, CA 95055-2313
(831) 406-0093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86152264
CA
Other
Enumeration date
01/17/2020
Last updated
01/03/2022
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