Individual
ELBA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 STORY RD, SAN JOSE, CA 95122-1900
(669) 307-3693
Mailing address
99 VISTA MONTANA APT 3530, SAN JOSE, CA 95134-2353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1666803
CO
163W00000X
Registered Nurse
Primary
95252301
CA
Other
Enumeration date
03/27/2020
Last updated
08/03/2023
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