Individual
SANDRA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 W HERMOSA DR, ARTESIA, NM 88210-2545
(575) 746-2777
Mailing address
2001 W HERMOSA DR, ARTESIA, NM 88210-2545
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R38436
NM
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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