Sandie Moreno, CPT
Technician, Pathology, Phlebotomy in Fair Oaks, CA. Individual provider (NPI-1).
NPI number1194595751
StatusActive
Last updated in NPPESJan 10, 2024
Details
- NPI
- 1194595751
- Entity type
- Individual (NPI-1)
- Name
- Sandie Moreno
- Credential
- CPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2024
- Certification date
- Jan 10, 2024
- Last updated
- Jan 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | A9C4Y2N4 | CA | Yes |
Practice location
5915 Spring Glen DrFair Oaks, CA 95628-2729
Phone 916-470-2439
Mailing address
5915 Spring Glen DrFair Oaks, CA 95628-2729
Phone 916-470-2439
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