Individual
DIANA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9450 W ENCANTO BLVD, PHOENIX, AZ 85037-4202
(623) 907-5270
Mailing address
9450 W ENCANTO BLVD, PHOENIX, AZ 85037-4202
(623) 907-5270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN198469
AZ
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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