Leslie Samantha Moreno
Student in an Organized Health Care Education/Training Program in Ontario, CA. Individual provider (NPI-1).
NPI number1003538166
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1003538166
- Entity type
- Individual (NPI-1)
- Name
- Leslie Samantha Moreno
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2022
- Certification date
- Jun 14, 2024
- Last updated
- Jun 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1556 S Sultana AveOntario, CA 91761-4238
Phone 909-418-6923
Mailing address
1556 S Sultana AveOntario, CA 91761-4238
Phone 909-418-6923
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All 174 Student in an Organized Health Care Education/Training Program providers in Ontario · All 6,249 providers in Ontario
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