Jonathan Moreno
Jonathan Moreno is an Athletic Trainer in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
3601 Pacific AveStockton, CA 95211-0110
Phone: (209) 946-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (CA) |
|---|
Record details
| NPI number | 1548984495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2022 |
| Last updated in NPPES | October 3, 2022 |
| Certification date | October 3, 2022 |
| Mailing address | 20236 Avena Rd, Escalon, CA 95320-9538 |
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