Individual
MRS. VANESSA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2200 BERGQUIST DR STE 1, SAN ANTONIO, TX 78236-9908
(210) 387-7682
Mailing address
1234 JUNEAU AVE UNIT B, JBER, AK 99505
(210) 387-7682
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
666298
TX
Other
Enumeration date
11/28/2006
Last updated
09/12/2014
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