Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MSG004255 | PA |
NPI | 1134492770 |
---|---|
Provider Name | Roselin M Morales |
First Address | Bethlehem, PA 18015-2007 |
Second Address | Bethlehem, PA 18015-2007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2012 |
Last Update Date | 13/02/2012 |