Provider Demographics
NPI:1932554573
Name:HING-MOREYRA, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HING-MOREYRA
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 1:5531 SANDPIPER CT
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5417
Mailing Address - Country:US
Mailing Address - Phone:925-595-0837
Mailing Address - Fax:
Practice Address - Street 1:5531 SANDPIPER CT
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5417
Practice Address - Country:US
Practice Address - Phone:925-595-0837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255312164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse