Individual
CASANDRA LOUISE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 W NORFOLK AVE APT 411, NORFOLK, NE 68701-4950
(734) 474-2626
Mailing address
301 DOMAR DR, NORFOLK, NE 68701-5562
(734) 474-2626
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
09/11/2025
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