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Individual

BRENDA MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15105 SHERMAN WAY APT 317, VAN NUYS, CA 91405-2013
(818) 850-8537
Mailing address
15105 SHERMAN WAY APT 317, VAN NUYS, CA 91405-2013
(818) 850-8537

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
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