Provider Demographics
NPI:1649571563
Name:MORANI, VALENTINA ANTONIETTA (LAC)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:ANTONIETTA
Last Name:MORANI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 985
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-0985
Mailing Address - Country:US
Mailing Address - Phone:410-778-2155
Mailing Address - Fax:
Practice Address - Street 1:400 S CROSS ST STE 1B
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-4705
Practice Address - Country:US
Practice Address - Phone:410-778-2155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01935171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist