Individual
A MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2515
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP0427085
AZ
Other
Enumeration date
01/07/2011
Last updated
09/14/2011
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