Individual
BELEN JESSAMIN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S FLOWER ST STE 100, ORANGE, CA 92868-3467
(714) 683-5876
Mailing address
6041 FULLERTON AVE APT 10, BUENA PARK, CA 90621-2348
(714) 388-5548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
472658
CA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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