Moreno, Kristal Marie

Moreno, Kristal Marie is an individual health care provider with primary practice located at 244 E Clara St , Port Hueneme CA 93041-2732. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Moreno, Kristal Marie can be contacted via phone (805) 307-6296.

Contact Information

Primary practice address
244 E Clara St Port Hueneme CA 93041-2732
Phone: (805) 307-6296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 689647 California

Profile Details

NPI number 1679129480
LBN Legal business name Moreno, Kristal Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679129480 NPPES
California Other XEQ9913232 BLUE SHIELD

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