Individual
JOSEF MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3633 W 117TH ST, INGLEWOOD, CA 90303-2910
(310) 901-9088
Mailing address
3633 W 117TH ST, INGLEWOOD, CA 90303-2910
(310) 901-9088
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
694286
CA
Other
Enumeration date
01/30/2023
Last updated
06/07/2023
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