Individual
BRIANNA IDALIS MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
305 1ST ST E, CONOVER, NC 28613-1715
(828) 464-3821
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13313
NC
Other
Enumeration date
06/26/2023
Last updated
08/15/2023
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