Individual
ABISAI MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 N 4TH ST, SAN JOSE, CA 95112-4900
(510) 270-1150
Mailing address
989 BAY TERRACE DR, GALT, CA 95632-3462
(209) 642-9781
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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