Individual
CELIA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 37TH AVE, SAN MATEO, CA 94403-4324
(650) 573-2043
Mailing address
225 37TH AVE, SAN MATEO, CA 94403-4324
(650) 573-2043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G046556
CA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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