Individual
MRS. LISA M MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 2 CALLE POMAROSA, IMBERY, BARCELONETA, PR 00617
(787) 485-6522
Mailing address
CARR 2 CALLE POMAROSA, IMBERY, BARCELONETA, PR 00617
(787) 485-6522
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7468
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4608881
DRIVER LICENSE
PR
Enumeration date
05/24/2010
Last updated
05/24/2010
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