Individual
ERICA MICHELLE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30168 MUIRFIELD WAY, CATHEDRAL CITY, CA 92234-0803
(760) 902-4397
Mailing address
30168 MUIRFIELD WAY, CATHEDRAL CITY, CA 92234-0803
(760) 902-4397
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
727608
CA
Other
Enumeration date
11/06/2023
Last updated
12/04/2023
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