Individual
DELIA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
74 SADDLE LN, LEVITTOWN, NY 11756-2644
(631) 741-2257
Mailing address
74 SADDLE LN, LEVITTOWN, NY 11756-2644
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
330105-1
NY
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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