Individual
JEAN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STNA
Contact information
Practice address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
(740) 383-3472
Mailing address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
(740) 383-3472
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401644060514
OH
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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