Individual
ALINE A IANNONI DE MORAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-8520
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT234062
PA
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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