Individual
MICHELLE GRACIE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10125 FRAZIER RD, REDDING, CA 96003-9241
(530) 356-8902
Mailing address
5734 OLIVE ST, ANDERSON, CA 96007-8258
(530) 410-3624
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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