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Individual

MISS ANA CORINA MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN CNOR CRNFA

Contact information

Practice address
57 PARK PL, BLOOMFIELD, BLOOMFIELD, NJ 07003-3526
(973) 744-6079
(973) 744-6079
Mailing address
57 PARK PL, BLOOMFIELD, BLOOMFIELD, NJ 07003-3526
(973) 744-6079
(973) 744-6079

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
26NO10460400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992965784
NJ
Enumeration date
06/15/2008
Last updated
12/09/2016
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