Individual
MIGUEL ANGEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(626) 484-0428
Mailing address
734 W SHERIDAN RD APT 710, CHICAGO, IL 60613-5364
(626) 484-0428
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000695
IL
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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