NPI 1205076635
Jason Albert Moreta
Practice location
- Address
- 1322 S Country Club Dr, Mesa, AZ 85210-5130
- Phone
- (480) 831-6585
- Mailing address
- 6136 E McLellan Rd, Mesa, AZ 85205-3602
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1205076635
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Feb 2009
- Record last updated
- 25 Feb 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.