Individual
AMY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11277 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92843-1300
(323) 336-0601
Mailing address
11277 GARDEN GROVE BLVD STE 100, GARDEN GROVE, CA 92843-1300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
07/18/2023
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