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Individual
MS. LOURDES PATRICIA MEJIA
Active
Individual
MS. LOURDES PATRICIA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
21316
CA
363LF0000X
Family Nurse Practitioner
Primary
AP60616598
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21316
21316
CA
Enumeration date
06/19/2012
Last updated
03/10/2020
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