MARIO MORA

LOS ANGELES, CA
NPI1255957973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  10482)
Enumeration Date2020-06-18
Last Update Date2020-06-18
Business Address
MR. MARIO MORA SUDRC
5723 WHITTIER BLVD
LOS ANGELES, CA 90022-4222
Phone number: 323-721-6855
Mailing Address
MR. MARIO MORA SUDRC
7320 EXETER ST APT 5
PARAMOUNT, CA 90723-3333
Phone number: 562-469-2757
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