Individual
KIELE TERESA MOHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
338 S DAKOTA AVE BLDG 13850, LOMPOC, CA 93437-6307
(805) 606-2273
Mailing address
338 S DAKOTA AVE BLDG 13850, LOMPOC, CA 93437-6307
(805) 606-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102208938
VA
208D00000X
General Practice Physician
Primary
0102208938
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2023
Last updated
06/05/2026
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