Provider Demographics
NPI:1407682958
Name:MORALES, CYNTHIA BERENICE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:BERENICE
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3935
Mailing Address - Country:US
Mailing Address - Phone:209-600-1044
Mailing Address - Fax:
Practice Address - Street 1:289 E 8TH ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3935
Practice Address - Country:US
Practice Address - Phone:209-600-1044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator