Individual
MAGDALENO MORENO II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1393 E ALTON GLOOR BLVD STE 8, BROWNSVILLE, TX 78526-3401
(956) 545-0009
(956) 545-0009
Mailing address
9565 LOS OLMOS, LOS FRESNOS, TX 78566-4589
(956) 742-9670
(956) 545-0009
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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