Individual
MARY ROSE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
NAVCONBRIG MIRAMAR, 46141 MIRAMAR WAY, SAN DIEGO, CA 92145-0001
(858) 577-7015
Mailing address
NAVCONBRIG MIRAMAR, PO BOX 452135, SAN DIEGO, CA 92145-0001
(858) 577-7015
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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