Individual
MR. DIEGO FRANCISCO MORALES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP60904888
Contact information
Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
8 E. RAYMOND ST, BREWSTER, WA 98812
(509) 881-4139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60904888
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LP60904888
—
WA
Enumeration date
01/10/2019
Last updated
01/10/2019
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