Individual
MRS. JANET EUGENIE MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11975 SEAWAY RD STE A226, GULFPORT, MS 39503-6250
(228) 896-2824
(228) 896-2825
Mailing address
18639 PERKINS RD LOT 14, PRAIRIEVILLE, LA 70769-3277
(225) 810-1792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3413
MS
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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