Individual
MRS. MARCELINA INOCENCIO MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5011 N 64TH DR, GLENDALE, AZ 85301-7203
(623) 846-5023
(623) 846-5023
Mailing address
5011 N 64TH DR, GLENDALE, AZ 85301-7203
(623) 846-5023
(623) 846-5023
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
ALH-5637
AZ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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