Most Relevant Information
Provider Data
| NPI Number: | 1003237413 |
| Provider Name: | MIRIAM MACIEL MORALES |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/02/2014 |
| Last Updated: | 01/02/2014 |
Provider Practice Location
2101 MAGNOLIA AVE
LONG BEACH
CA
908064521
Practice Location Phone/Fax
| Phone: | 5622181868 |
| Fax: | 5625910346 |
Provider Mailing Location
2101 MAGNOLIA AVE
LONG BEACH
CA
908064521
Provider Mailing Phone/Fax
| Phone: | 5622181868 |
| Fax: | 5625910346 |