Provider Demographics
NPI:1265865828
Name:RADO MORALES, MANDIE
Entity Type:Individual
Prefix:
First Name:MANDIE
Middle Name:
Last Name:RADO MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MCINTOSH RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3714
Mailing Address - Country:US
Mailing Address - Phone:856-298-1515
Mailing Address - Fax:
Practice Address - Street 1:118 MCINTOSH RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3714
Practice Address - Country:US
Practice Address - Phone:856-298-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-18
Last Update Date:2013-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula