Most Relevant Information
Provider Data
| NPI Number: | 1003468471 |
| Provider Name: | CHELSEA MARIE MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2019 |
| Last Updated: | 07/15/2019 |
Provider Practice Location
211 BIEDE AVE
DEFIANCE
OH
435122497
Practice Location Phone/Fax
| Phone: | 4197828856 |
| Fax: |
Provider Mailing Location
211 BIEDE AVE
DEFIANCE
OH
435122497
Provider Mailing Phone/Fax
| Phone: | 4197828856 |
| Fax: |