Individual
MR. ANDRES A MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
166 3RD AVE APT 25, CHULA VISTA, CA 91910-1857
(619) 410-7215
Mailing address
166 3RD AVE APT 25, CHULA VISTA, CA 91910-1857
(619) 410-7215
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95014745
CA
Other
Enumeration date
11/13/2020
Last updated
05/07/2024
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