Individual
MONSERRAT MORALES NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23291 NE STATE ROUTE 3, BELFAIR, WA 98528-9324
(360) 763-5600
Mailing address
1325 OLYMPIC HWY S, SHELTON, WA 98584-3235
(360) 277-8746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG61431660
WA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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