Individual
MRS. VIVIANNE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6960 108TH ST, FOREST HILLS, NY 11375-4323
(718) 544-0442
(718) 793-4290
Mailing address
13745 68TH DR APT A, FLUSHING, NY 11367-1621
(718) 308-5265
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
718441
NY
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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