Individual
BIANCA MOREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7986 DAGGET ST, SAN DIEGO, CA 92111
(858) 300-0460
Mailing address
7986 DAGGET ST, SAN DIEGO, CA 92111
(858) 300-0460
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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