Mora, Jayme

Mora, Jayme is an individual health care provider with primary practice located at 613 Bayonet Cir , Marina CA 93933-4600. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mora, Jayme can be contacted via phone (831) 384-6741.

Contact Information

Primary practice address
613 Bayonet Cir Marina CA 93933-4600
Fax: (831) 384-6748
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497182703
LBN Legal business name Mora, Jayme
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497182703 NPPES
California Other 510159122 MEDI-CAL

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