Individual
MR. BRANDAN CHACE MORONI
Active
Individual
MR. BRANDAN CHACE MORONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
697568
CA
164X00000X
Licensed Vocational Nurse
Primary
697568
CA
171M00000X
Case Manager/Care Coordinator
697568
CA
Other
Enumeration date
02/23/2007
Last updated
02/14/2020
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