Individual
ZEYNA MARIA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 S FAIRMONT AVE, LODI, CA 95240-5119
(209) 368-9683
Mailing address
918 S FAIRMONT AVE, LODI, CA 95240-5119
(209) 368-9683
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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