Provider Demographics
NPI:1306127881
Name:MORALES, BRENDA DELIA (DC)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:DELIA
Last Name:MORALES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-5034
Mailing Address - Country:US
Mailing Address - Phone:760-839-0100
Mailing Address - Fax:760-839-0140
Practice Address - Street 1:403 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-5034
Practice Address - Country:US
Practice Address - Phone:760-839-0100
Practice Address - Fax:760-839-0140
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor