MR. Jason Ty Moreno

NPI #1215628284 in Ames, Iowa

Provider Information

NPI Number
1215628284
Entity Type
Individual
Name
MR. Jason Ty Moreno
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
May 18, 2023
Last Updated
May 18, 2023

Practice Location

Address
3214 PERIDOT AVE APT 210
City
Ames
State
Iowa
ZIP Code
50010-1216
Phone
(562) 457-9675

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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