Individual
HANNAH MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 N 3RD E APT 603, REXBURG, ID 83440-1677
(816) 551-7038
Mailing address
264 N 3RD E APT 603, REXBURG, ID 83440-1677
(816) 551-7038
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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