Individual
ELLEN SUSANA MORALES LODIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20661 FORGE WAY UNIT 365, CUPERTINO, CA 95014-6379
(408) 707-8216
Mailing address
20661 FORGE WAY UNIT 365, CUPERTINO, CA 95014-6379
(408) 707-8216
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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