Individual
MR. JOE MORA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3525 THREE SAINTS RD, ANTHONY, NM 88021-8924
(575) 649-1282
Mailing address
3525 THREE SAINTS RD, ANTHONY, NM 88021-8924
(575) 649-1282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
221
NM
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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