Individual
MR. AUGUSTO MARTIN MORA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6080
Mailing address
3028 GENTILLY BLVD, NEW ORLEANS, LA 70122-3808
(504) 948-6080
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/10/2021
Last updated
08/11/2021
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