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1548002553
ITZA MORENO
HUNTINGTON BEACH, CA
NPI
1548002553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95024742)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
ITZA MORENO FNP-C
17161 GOLDENWEST ST
HUNTINGTON BEACH, CA 92647-5480
Phone number: 949-645-7746
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Mailing Address
ITZA MORENO FNP-C
8605 SANTA MONICA BLVD PMB 428732
WEST HOLLYWOOD, CA 90069-4109
Phone number:
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