Vicente Moreno

NPI 1033401146 - Counselor - 101YA0400X

NPI Details
NPI 1033401146
Gender Male
Enumeration Date 05/07/2011
Last Updated 05/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2403 PROFESSIONAL DR
SUITE 101
SANTA ROSA CA, 95403-3007, US
Phone (707) 544-3295
Fax (707) 544-9011
Business Location
2403 PROFESSIONAL DR
SUITE 101
SANTA ROSA CA, 95403-3007, US
Phone (707) 544-3295
Fax (707) 544-9011
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Vicente Moreno NPI is 1033401146, taxonomy code is 101YA0400X Vicente Moreno physically located at 2403 Professional Dr, Santa Rosa CA, 95403-3007. NPI Number Vicente Moreno has the Individual type.

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1033401146 NPI number is provided on an as is basis without warranty of any kind. 1033401146 is maintained by the National Plan & Provider Enumeration System. The contents of Vicente Moreno are for informational purposes only.