Individual
MRS. PETRA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 JERRY LEWIS, EL PASO, TX 79936
(915) 329-2372
Mailing address
11501 JERRY LEWIS, EL PASO, TX 79936
(915) 329-2372
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
04/12/2016
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