Individual
MRS. VICTORIA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 INDIGO DR, OLD BRIDGE, NJ 08857-3591
(917) 836-0792
Mailing address
7 INDIGO DR, OLD BRIDGE, NJ 08857-3591
(917) 836-0792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
526595041
NY
Other
Enumeration date
05/04/2014
Last updated
05/04/2014
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