Individual
DANIELA MARY LEIVA-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7935 CASTOR AVE, PHILADELPHIA, PA 19152-3220
(215) 917-9358
Mailing address
7935 CASTOR AVE, PHILADELPHIA, PA 19152-3220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN791704
PA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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