Moreno, Nevra Lorraine
Moreno, Nevra Lorraine is an sole proprietor health care provider with primary practice located at 4406 E Shetland Dr , San Tan Valley AZ 85140-3135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moreno, Nevra Lorraine can be contacted via phone (602) 641-1190.Contact Information
Primary practice address
4406 E Shetland Dr
San Tan Valley AZ 85140-3135
Phone: (602) 641-1190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-25634 | Arizona |
Profile Details
| NPI number | 1902412364 |
|---|---|
| LBN Legal business name | Moreno, Nevra Lorraine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2020 |
| Last updated | Sep 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902412364 | NPPES |
| Arizona | Other | MT-25634 | ARIZONA STATE BOARD OF MASSAGE |
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