Individual
ANITZA MARIBEL CARLOS-MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49221 GRAPEFRUIT BLVD STE 6, COACHELLA, CA 92236-1461
(760) 541-8520
Mailing address
49221 GRAPEFRUIT BLVD STE 6, COACHELLA, CA 92236-1461
(760) 541-8520
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
06/27/2024
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