Individual
MRS. NANCINE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7125 W ENCANTO BLVD, PHOENIX, AZ 85035-1335
(623) 691-5600
(623) 691-5620
Mailing address
5220 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2605
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050370
AZ
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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