Individual
MERCER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10751 VIKING AVE, NORTHRIDGE, CA 91326-2758
(747) 800-1898
(747) 239-5033
Mailing address
10751 VIKING AVE, NORTHRIDGE, CA 91326-2758
(747) 800-1898
(747) 239-5033
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
197609990
CA
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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