Individual
KRISTE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
700 WEDGEWOOD LN, LONGVIEW, TX 75604-3139
(903) 252-2606
Mailing address
700 WEDGEWOOD LN, LONGVIEW, TX 75604-3139
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
337750
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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