Individual
DOLORES MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 BUSINESS CENTER DR, SAN BERNARDINO, CA 92408-3436
(909) 890-5930
(909) 890-5930
Mailing address
1908 BUSINESS CENTER DR., SAN BERNARDINO, CA 92408
(909) 890-5930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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