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Desirae Moreno, LP

NPI 1326273426 · on the registry since 2009 · sole proprietor

Practice

Address
121 S Whittier Rd
Wichita, KS 67207
Phone
(316) 617-0357
Organisation at this address
Annie Targos Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 240 N Rock Rd, Wichita, KS

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
103TC0700X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-25

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 Kansas