Individual
HOSEA MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22373 BLUE LUPINE CIR, GRAND TERRACE, CA 92313-5466
(661) 546-2417
Mailing address
22373 BLUE LUPINE CIR, GRAND TERRACE, CA 92313-5466
(661) 546-2417
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A4647913
CA
Other
Enumeration date
04/14/2014
Last updated
03/22/2024
About Stedi
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