Individual
TERESITA MORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1275 W 47TH PL, SUITE 434, HIALEAH, FL 33012-3394
(305) 364-4945
Mailing address
1275 W 47TH PL, SUITE 434, HIALEAH, FL 33012-3394
(305) 364-4945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 1588412
FL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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