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Individual

ANGEL DAVID MORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2240 E PLAZA BLVD, NATIONAL CITY, CA 91950-5164
(619) 474-5916
Mailing address
5265 CENTRAL AVE, BONITA, CA 91902-2641

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CA

Other

Enumeration date
09/13/2025
Last updated
09/13/2025
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