Individual
MR. WILLIAM MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
340 E 12TH ST, IMPERIAL, NE 69033-3108
(308) 882-0023
Mailing address
340 E 12TH ST, IMPERIAL, NE 69033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CERTIFICATE #929
NE
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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