Individual
MERCEDES MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A
Contact information
Practice address
1132 W 69TH PL, HIALEAH, FL 33014-5109
(786) 379-1730
Mailing address
1132 W 69TH PL, HIALEAH, FL 33014-5109
(786) 379-1730
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA14919
FL
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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