Individual
LAURA ANGELICA LOPEZ-MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 G ST, MERCED, CA 95340-2133
(209) 722-0202
(209) 385-9921
Mailing address
2841 G ST, MERCED, CA 95340-2133
(209) 722-0202
(209) 385-9921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
05/20/2021
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