Individual
LUIS MAURO REGALADO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1057
Mailing address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1057
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
03/14/2023
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