ETHAN MORENO

CORPUS CHRISTI, TX
NPI1548630601
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: TX  38714)
Enumeration Date2015-10-01
Last Update Date2015-10-01
Business Address
-- ETHAN MORENO
4444 CORONA DR STE. 234
CORPUS CHRISTI, TX 78411-4324
Phone number: 361-854-1110
Mailing Address
-- ETHAN MORENO
4444 CORONA DR STE. 234
CORPUS CHRISTI, TX 78411-4324
Phone number: 361-854-1110
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