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Individual
KEN MORALES ALCANTARA
Active
Individual
KEN MORALES ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, LVN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041453102
IL
164X00000X
Licensed Vocational Nurse
Primary
703054
CA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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