Individual
AGUSTINA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 862-8455
Mailing address
46357 MESA VERDE TRL, INDIO, CA 92201-5363
(760) 498-7470
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
239024
CA
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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