Individual
BERTHA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13953 SW 66TH ST, APT-601 B, MIAMI, FL 33183-2258
(786) 312-6965
Mailing address
13953 SW 66TH ST, APT-601 B, MIAMI, FL 33183-2258
(786) 312-6965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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