CARLOS MORA

ROANOKE, VA
NPI1023007531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: VA  0101275048)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  ME138277)
Enumeration Date2005-10-18
Last Update Date2022-07-26
Business Address
CARLOS MORA
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
Mailing Address
CARLOS MORA
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: