Individual
JULIA MANNERS-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3570 MORALES DR, BONIFAY, FL 32425-5538
(850) 263-7693
Mailing address
3570 MORALES DR, BONIFAY, FL 32425-5538
(850) 263-7693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5200868
FL
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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