Individual
JACQUELINE MERIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15310 ORANGE AVE, PARAMOUNT, CA 90723-3804
(562) 419-4367
Mailing address
15310 ORANGE AVE, PARAMOUNT, CA 90723-3804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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