NPI 1386471175

Samantha Louise Moreno

Practitioner Homemaker South Boston, VA

Practice location

Address: 2041 Philpott Rd Lot 3, South Boston, VA 24592-6833
Phone: (956) 801-9719

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1386471175
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2024
Record last updated: 17 Sep 2024

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.