Individual
ERICA LYNN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23501 CINEMA DR STE 111, VALENCIA, CA 91355-5429
(661) 258-3811
Mailing address
23501 CINEMA DR, VALENCIA, CA 91355-5428
(612) 583-8116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2616
NV
363A00000X
Physician Assistant
Primary
PA62506
CA
Other
Enumeration date
03/16/2022
Last updated
05/30/2024
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