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Mr. Manuel Moran JR., NP
Family Nurse Practitioner in Riverside, California
NPI 1174259592

Manuel Moran JR. is a Family Nurse Practitioner based in Riverside, CA and is specialized in Family. Manuel Moran JR. practices in Riverside, CA and has the professional credentials of NP. The NPI Number for Manuel Moran JR. is 1174259592 and holds a License No. 95022129 (California).

The current practice location address for Manuel Moran JR. is 491 E Alessandro Blvd, Riverside, CA and can be reached out via phone at 866-389-2727.

Location: 491 E Alessandro Blvd, Riverside, CA, 92508-6071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174259592
Provider Name
Manuel Moran JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
491 E Alessandro Blvd, Riverside, CA, 92508-6071
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95022129 05 CA
institution
Provider Business Practice Location Address Details
Address
491 E Alessandro Blvd
City
Riverside
State
California
Zip
92508-6071
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
491 E Alessandro Blvd
City
Riverside
State
California
Zip
92508-6071
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95022129 (California)
Definition
Definition to come...
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