Individual
LITA RABANILLO MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
160 N FORESTVIEW CT, WICHITA, KS 67235-8215
(316) 239-6841
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
97820
KS
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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