Individual
GINA REBECCA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 CHERRY RIDGE ST STE D400, SAN ANTONIO, TX 78230-4820
(210) 692-0222
Mailing address
10814 SHAENMEADOW, SAN ANTONIO, TX 78254-1911
(210) 378-3981
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
912018
TX
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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