Individual
LEO OSWALDO MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
291 W. CASA BLANCA RD. BLDG. # 7, SACATON, AZ 85147
(520) 562-3323
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(520) 562-3323
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18476
AZ
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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