Individual
MISS NANCY MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11555 DAVENRICH ST, SANTA FE SPRINGS, CA 90670-3603
(562) 233-2621
Mailing address
3851 S SOTO ST, VERNON, CA 90058-1718
(323) 585-7162
(323) 585-0167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6596
CA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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