Provider Demographics
NPI:1477107159
Name:TOVES-MORRIS, VERONICA JEAN
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:JEAN
Last Name:TOVES-MORRIS
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 1:9229 VAN RUITEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2132
Mailing Address - Country:US
Mailing Address - Phone:562-666-6901
Mailing Address - Fax:
Practice Address - Street 1:9229 VAN RUITEN ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2132
Practice Address - Country:US
Practice Address - Phone:562-666-6901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC4485562172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver