Individual
BALDOMERO MORENO CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1299
(309) 489-5228
Mailing address
CARRETERA DE VILLAVICIOSA N3, CORDOBA, CORDOBA 14012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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