Individual
RAECHEL MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
38860 SKY CANYON DR BLDG A, MURRIETA, CA 92563-2518
(951) 676-4193
Mailing address
28780 SINGLE OAK DR, SUITE 160, TEMECULA, CA 92590-3625
(951) 676-4193
(951) 719-1469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA52132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA52132
LICENSE
CA
Enumeration date
11/24/2014
Last updated
02/20/2020
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