Individual
RITA VACA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4271
Mailing address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
519051
CA
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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