Individual
ANN LORRAINE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Mailing address
2180 CITTADIN DR, FULLERTON, CA 92833-5757
(213) 590-7519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004168
CA
Other
Enumeration date
05/29/2016
Last updated
02/18/2020
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