Individual
YURIANA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4819 S LUNA AVE, CHICAGO, IL 60638-1701
(708) 369-5322
Mailing address
4819 S LUNA AVE, CHICAGO, IL 60638-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164008922
IL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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