Individual
GRIVEL MARIE MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BEULAH ST, SAN FRANCISCO, CA 94117-3909
(415) 668-1511
(415) 668-1300
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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