Provider Demographics
NPI:1942964069
Name:MORALES, ANA ALEJANDRA
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:ALEJANDRA
Last Name: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 1:13290 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-4271
Mailing Address - Country:US
Mailing Address - Phone:951-807-6820
Mailing Address - Fax:
Practice Address - Street 1:13290 SILVER LN
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-4271
Practice Address - Country:US
Practice Address - Phone:951-807-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program