Edder Geovanny Mora, | |
360 Merrimack St Ste 9, Lawrence, MA 01843-1764 | |
(978) 655-6652 | |
(833) 963-2112 |
Full Name | Edder Geovanny Mora |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 360 Merrimack St Ste 9, Lawrence, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790469781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LN101085 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
---|---|
Edder Geovanny Mora, 87 Phillips St, Methuen, MA 01844-4311 Ph: (978) 835-5358 | Edder Geovanny Mora, 360 Merrimack St Ste 9, Lawrence, MA 01843-1764 Ph: (978) 655-6652 |
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