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Individual

MIGUEL ANGEL MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM

Contact information

Practice address
35000 GUADACANAL STREET, BRANCH MEDICAL CLININC (MCRD), SAN DIEGO, CA 92140-5599
(619) 524-4045
Mailing address
35000 GUADACANAL STREET, BRANCH MEDICAL CLINIC (MCRD), SAN DIEGO, CA 92140
(619) 524-4045

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
CA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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