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Individual

BERNARDO JOVEN MORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494
(209) 558-8918
Mailing address
3801 YOSEMITE BLVD # E-331, MODESTO, CA 95357-0529
(209) 525-6119

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A52412
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A52412
CA

Other

Enumeration date
10/23/2006
Last updated
01/08/2019
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