Individual
LANI NICOLE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10990 SAN DIEGO MISSION RD, SAN DIEGO, CA 92108-2417
(619) 641-4224
Mailing address
5500 MORRO WAY APT 73, LA MESA, CA 91942-2175
(619) 623-1100
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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