Individual
STEPHANIE MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT 1
Contact information
Practice address
11047 STRATHERN ST APT 1, SUN VALLEY, CA 91352-3965
(818) 946-9370
Mailing address
11047 STRATHERN ST APT 1, SUN VALLEY, CA 91352-3965
(818) 946-9370
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT00064253
CA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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