Individual
SOFIA LUCINA MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(840) 252-7774
(840) 223-5913
Mailing address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(840) 252-7774
(840) 223-5913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029887
CA
Other
Enumeration date
04/24/2024
Last updated
12/01/2024
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