Individual
GEMEKIA LATRISHA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 N. CALIFORNIA, STOCKTON, CA 95952
(855) 812-5766
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015736
CA
Other
Enumeration date
11/08/2020
Last updated
12/29/2020
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