RICHARD MORENO

GLENDALE, AZ
NPI1649667635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  11463a)
Enumeration Date2015-04-17
Last Update Date2015-04-17
Business Address
-- RICHARD MORENO
6509 W ACAPULCO LN
GLENDALE, AZ 85306
Phone number: 602-421-8231
Mailing Address
-- RICHARD MORENO
6509 W ACAPULCO LN
GLENDALE, AZ 85306
Phone number: