Individual
LAURA MARIA MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-5288
(623) 879-1563
Mailing address
3655 W ANTHEM WAY STE A109, ANTHEM, AZ 85086-0430
(623) 879-5288
(623) 879-1563
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4277
AZ
Other
Enumeration date
09/22/2008
Last updated
07/21/2022
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