Individual
EDITH MERCADO-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
649 E ALBERTONI ST STE 100, CARSON, CA 90746-1538
(310) 279-9810
Mailing address
1303 W WALNUT PKWY, COMPTON, CA 90220-5030
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
03/30/2018
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