Individual
MISS INGRID MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
12900 PARK PLAZA DR, CERRITOS, CA 90703-9329
(866) 646-3553
Mailing address
12900 PARK PLAZA DR, CERRITOS, CA 90703-9329
(866) 646-3553
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000368
CA
363LG0600X
Gerontology Nurse Practitioner
95000368
CA
Other
Enumeration date
03/29/2014
Last updated
09/27/2014
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