Individual
MR. ERIC OMAR VAZQUEZ MERCED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7705 SEVILLE AVE STE D, HUNTINGTON PARK, CA 90255-6570
(323) 582-6534
Mailing address
1720 N FULLER AVE APT 245, LOS ANGELES, CA 90046-3075
(407) 716-5757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010284
CA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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