Individual
DIANE MARIE MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6655 FIRST PARK TEN BLVD, SAN ANTONIO, TX 78213-4308
(210) 733-3246
(210) 581-9228
Mailing address
6655 FIRST PARK TEN BLVD, SAN ANTONIO, TX 78213-4308
(210) 733-3246
(210) 581-9228
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216632
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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