Individual
LUIS ARMANDO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 DREW CIR APT 53, DAVIS, CA 95618-6357
(707) 631-6188
Mailing address
1660 DREW CIR, DAVIS, CA 95618-6353
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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