Individual
CHRISTINE SUSANNA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 VIA CTR, VISTA, CA 92081-6056
(949) 474-1493
Mailing address
25841 VAN LEUVEN ST APT 179, LOMA LINDA, CA 92354-2557
(909) 838-1172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
10/10/2023
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