DR. Desiree Moreno, DAT, LAT, ATC
NPI #1508221573 in Raton, New Mexico
Provider Information
- NPI Number
- 1508221573
- Entity Type
- Individual
- Name
- DR. Desiree Moreno, DAT, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- DAT, LAT, ATC
- Enumeration Date
- Dec 17, 2015
- Last Updated
- May 22, 2024
Practice Location
- Address
- 1356 VISTA PL
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2221
- Phone
- (715) 554-2728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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