Individual
JASMIN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Mailing address
112 MARSTON ST APT 318, LAWRENCE, MA 01841-2353
(978) 601-9798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98231
MA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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