Individual
VICTORIA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1130 ANNAPOLIS RD, ODENTON, MD 21113-1648
(410) 672-2255
Mailing address
26 S CURLEY ST, BALTIMORE, MD 21224-2233
(281) 948-0526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008415
MD
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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