Jessica Bautista De Mora
NPI #1013628700 in San Bernardino, California
Provider Information
- NPI Number
- 1013628700
- Entity Type
- Individual
- Name
- Jessica Bautista De Mora
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 13, 2022
- Last Updated
- May 17, 2024
Practice Location
- Address
- 1100 N D ST
- City
- San Bernardino
- State
- California
- ZIP Code
- 92410-3524
- Phone
- (909) 884-0840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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