Individual
ALEJANDRO JOSE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS: 220109949
Contact information
Practice address
812 W 165TH PL, GARDENA, CA 90247-5105
(310) 425-1605
Mailing address
812 W 165TH PL, GARDENA, CA 90247-5105
(310) 425-1605
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
220109949
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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