Individual
WANDA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4057 SUNNY DAY WAY, KISSIMMEE, FL 34744-9155
(407) 501-9837
Mailing address
4057 SUNNY DAY WAY, KISSIMMEE, FL 34744-9155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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