Individual
DR. ALVARO PAUL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
598 E CENTRAL AVE, PETAL, MS 39465-2957
(601) 450-3937
Mailing address
149 SWEETBAY TRAIL, PETAL, MS 39465
(601) 325-0178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1021
MS
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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