Individual
ELENA MICHELLE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5118 BLUEBELL AVE, VALLEY VILLAGE, CA 91607-2912
(954) 895-7049
Mailing address
5118 BLUEBELL AVE, VALLEY VILLAGE, CA 91607-2912
(954) 895-7049
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95029886
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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