Individual
JEROME MORALES LAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5605 WALRAVEN CIR, FORT WORTH, TX 76133-2535
(214) 263-7619
Mailing address
3016 CROCKETT ST APT 424, FORT WORTH, TX 76107-7933
(214) 263-7619
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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