Individual
ROSA MARIA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 EGRET WAY, EL PASO, TX 79922-1816
(915) 449-7576
Mailing address
312 EGRET WAY, EL PASO, TX 79922-1816
(915) 449-7576
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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