Individual
LESLIE JOAN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
(916) 440-1514
Mailing address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
(916) 440-1514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
C2675336
CA
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
C2675336
CA
Other
Enumeration date
03/29/2023
Last updated
03/10/2026
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