EDDER GEOVANNY MORA

LAWRENCE, MA
NPI1790469781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  LN101085)
Enumeration Date2023-06-12
Last Update Date2023-06-12
Business Address
EDDER GEOVANNY MORA
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843-1764
Phone number: 978-655-6652
Mailing Address
EDDER GEOVANNY MORA
87 PHILLIPS ST
METHUEN, MA 01844-4311
Phone number: 978-835-5358