Individual
ALEXIS OLIVIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1849 WILLOW PASS RD STE 420, CONCORD, CA 94520-2524
(925) 672-9440
Mailing address
1816 GALAS CT, MODESTO, CA 95358-7136
(209) 408-7886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19352
CA
Other
Enumeration date
07/27/2020
Last updated
04/16/2025
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