Individual
MR. CARLOS MORONI SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RESIDENTIAL AIDE
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
54 W 1315 S, LOGAN, UT 84321-8205
(435) 232-5024
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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