Individual
MRS. MARIA REYNA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1600 PROVIDENCE DR, WACO, TX 76707-2261
(254) 750-8200
Mailing address
2208 N 44TH ST, WACO, TX 76710-2019
(254) 751-7123
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203714
TX
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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