Individual
CONSUELO MERCE' EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1391 FAREN DR, SANTA ANA, CA 92705-2451
(714) 838-3918
(714) 838-4737
Mailing address
1391 FAREN DR, SANTA ANA, CA 92705-2451
(714) 838-3918
(714) 838-4737
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
CFE38754
CA
174400000X
Specialist
Primary
CFE38754
CA
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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