Individual
CARLO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 E YESLER WAY APT 11, SEATTLE, WA 98122-6575
(714) 356-0198
Mailing address
2810 E YESLER WAY APT 11, SEATTLE, WA 98122-6575
(714) 356-0198
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
RN61349974
WA
Other
Enumeration date
11/19/2018
Last updated
11/10/2022
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