Individual
BONNIE SUE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
126 N ELECTRIC AVE APT K, ALHAMBRA, CA 91801-1927
(949) 293-3169
Mailing address
126 N ELECTRIC AVE APT K, ALHAMBRA, CA 91801-1927
(949) 293-3169
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
737631
CA
363LF0000X
Family Nurse Practitioner
20329
CA
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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