Individual
MARTHA MORALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8968 HIGHWAY 16, ELKINS, AR 72727-8066
(479) 347-8313
Mailing address
8968 HIGHWAY 16, ELKINS, AR 72727-8066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L046647
AR
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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