Organization
ANGELA MORENO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA A MORENO (VOLUNTEER)
(661) 308-8250
Entity
Organization
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(661) 868-6840
Mailing address
5025 TIERRA ABIERTA DR, BAKERSFIELD, CA 93307-8341
(661) 308-8250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
10/28/2024
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