Moreno, Angela Antoinette

Moreno, Angela Antoinette is an individual health care provider with primary practice located at 2215 Blue Gum Ave , Modesto CA 95358-1052. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moreno, Angela Antoinette can be contacted via phone (209) 525-5401.

Contact Information

Primary practice address
2215 Blue Gum Ave Modesto CA 95358-1052
Phone: (209) 525-5401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW 30552 California

Profile Details

NPI number 1649531757
LBN Legal business name Moreno, Angela Antoinette
Credentials ASW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Jun 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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