Individual
KEVIN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4513 ROSECLIFF CIR, MATHER, CA 95655-3063
(916) 640-6961
(916) 803-0747
Mailing address
4513 ROSECLIFF CIR, MATHER, CA 95655-3063
(916) 640-6961
(916) 803-0747
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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