Individual
NICOLE MONIQUE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Mailing address
4853 ALLESANDRO ST, CHINO, CA 91710-4052
(909) 678-0315
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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