Individual
FELIZA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N RIO GRANDE, SAN ANTONIO, TX 78202-3265
(210) 207-4725
Mailing address
210 N RIO GRANDE, SAN ANTONIO, TX 78202-3265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112818301
—
TX
Enumeration date
09/24/2009
Last updated
09/24/2009
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