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Vidal Mora, L.A.T., A.T.C
NPI 1841643780 · on the registry since 2016
Practice
- Address
- 7140 Welsh Dr
Lake Saint Louis, MO 63367 - Phone
- (636) 288-1928
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri