Individual
ANGELINA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 323-0933
Mailing address
4625 CAMINO DOS VIDAS, LAS CRUCES, NM 88012-7598
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03483
NM
Other
Enumeration date
12/10/2017
Last updated
02/02/2018
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