DONNIE JAY MORENO

PASADENA, CA
NPI1093584815
Other NameJOHN GREENEWALD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA  1051707)
Additional Taxonomies163WW0000X Registered Nurse, Wound Care
(Licence: CA  8CB9E)
225400000X Rehabilitation Practitioner
(Licence: CA  1051707)
Enumeration Date2023-12-20
Last Update Date2024-01-29
Business Address
DONNIE JAY MORENO
462 PRESCOTT ST
PASADENA, CA 91104-2858
Phone number: 626-485-2635
Mailing Address
DONNIE JAY MORENO
221 FREMONT AVE
SOUTH PASADENA, CA 91030
Phone number: 626-485-2635