Individual
CESILIO MORATAYA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 W FREMONT RD, PHOENIX, AZ 85041-6828
(602) 540-0572
Mailing address
240 W FREMONT RD, PHOENIX, AZ 85041-6828
(602) 540-0572
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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