Search › South Carolina › 183500000X
Jessica Moreno
NPI 1164991782 · on the registry since 2018 · sole proprietor
Practice
- Address
- 615 Bultman Dr
Sumter, SC 29150 - Phone
- (803) 305-6194
- Fax
- (803) 305-6197
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina