Individual
LAURA L MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, IBCLC, CPNP-PC
Contact information
Practice address
3305 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-9355
(707) 725-2426
Mailing address
3151 JOHNSON RD, HYDESVILLE, CA 95547-9449
(707) 599-9263
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95017325
CA
Other
Enumeration date
01/30/2021
Last updated
12/10/2022
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