Individual
ANDREA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT 470100109020122
Contact information
Practice address
3000 SAUL KLEINFELD DR, EL PASO, TX 79936-0989
(915) 849-7804
(915) 849-7807
Mailing address
3228 SUNSET POINT DR, EL PASO, TX 79938-5404
(209) 261-0903
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
163977
TX
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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