Individual
MRS. ALEXIS PILAR MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CFY
Contact information
Practice address
1695 W 24TH ST, YUMA, AZ 85364-6365
(928) 210-2339
Mailing address
5310 E 45TH ST, YUMA, AZ 85365-7641
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLPL5801
AZ
Other
Enumeration date
04/10/2008
Last updated
10/26/2010
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