Individual
JESSICA MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13500 LUIS AVE, SANTA NELLA, CA 95322-9645
(209) 854-6177
Mailing address
13500 LUIS AVE, SANTA NELLA, CA 95322-9645
(209) 854-6177
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220172399
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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