Individual
MARCOS MESHACH LOERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22116 W 51ST ST, SHAWNEE, KS 66226-3862
(909) 587-8126
Mailing address
22116 W 51ST ST, SHAWNEE, KS 66226-3862
(909) 587-8126
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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