Individual
ANDREA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45560 ROBINSON DR, LANCASTER, CA 93535-2263
(661) 445-8212
Mailing address
45560 ROBINSON DR, LANCASTER, CA 93535-2263
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
E2484906
CA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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