Individual
JASON PATRICK MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 GRAND AVE STE D, SACRAMENTO, CA 95838-3466
(916) 922-9868
Mailing address
6430 VERNER AVE APT 15, SACRAMENTO, CA 95841-2067
(567) 312-9547
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
05/28/2025
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