Individual
AMANDA MORALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3467 W SHAW AVE, FRESNO, CA 93711-3223
(559) 274-0299
Mailing address
27366 SAUNDERS RD, MADERA, CA 93637-6145
(559) 274-0299
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100447
STAFF ID NUMBER
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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