Individual
MARIANA ANASTASIA MOJICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95341-6217
(209) 381-6879
Mailing address
3545 SARASOTA AVE, MERCED, CA 95348-9399
(209) 233-4501
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
95037524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95037524
RN LICENSE
CA
01
—
CA02761
BLS
CA
01
—
CA15264
ACLS
CA
Enumeration date
12/14/2014
Last updated
12/14/2014
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