Individual
MR. SAMUUEL MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
208 GUACHPANGUE RD, ESPANOLA, NM 87532-3424
(505) 747-8187
(505) 747-8306
Mailing address
208 GUACHPANGUE RD, ESPANOLA, NM 87532-3424
(505) 747-8187
(505) 747-8306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN77327
NM
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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