Individual
MS. THERESA MARIE MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15352 RUNNING DEER TRL, POWAY, CA 92064
(858) 774-4575
Mailing address
15352 RUNNING DEER TRL, POWAY, CA 92064
(858) 774-4575
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7516019533
CA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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