Provider Demographics
NPI:1467262147
Name:MORALES, TIARA CHRISTINA
Entity type:Individual
Prefix:MRS
First Name:TIARA
Middle Name:CHRISTINA
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 1:1488 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-5211
Mailing Address - Country:US
Mailing Address - Phone:330-787-1363
Mailing Address - Fax:
Practice Address - Street 1:1488 ROSEWOOD LN
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-5211
Practice Address - Country:US
Practice Address - Phone:330-787-1363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide