MARIO ISRAEL MORENO

LA PUENTE, CA
NPI1215064555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
MR. MARIO ISRAEL MORENO
15229 AMAR RD
LA PUENTE, CA 91744-2066
Phone number: 626-855-5090
Mailing Address
MR. MARIO ISRAEL MORENO
1350 S CANDISH AVE
GLENDORA, CA 91740-5800
Phone number: 626-260-2605
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