Individual
CARISA MORONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 986-6341
Mailing address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 554-5188
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN290357
CA
Other
Enumeration date
12/07/2016
Last updated
01/04/2022
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