Individual
RUBY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(623) 547-6715
Mailing address
11421 W DAVIS LN, AVONDALE, AZ 85323-1102
(623) 755-7712
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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