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NPI Code Detail

MEDICARE: DEBORAH ANN MORAN-VILLARREAL LVN

MEDICARE: DEBORAH ANN MORAN-VILLARREAL LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN259068CA

General Provider Information

NPI Number : 1073912267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN MORAN-VILLARREAL LVN
Provider Business Mailing Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6116
Fax Number :
Provider Business Practice Location Address
First Line : 44359 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3116
Country : US
Telephone Number : 760-342-6616
Fax Number : 760-342-8276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 02/21/2024

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