Individual
MRS. MICAELA LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1113
(209) 381-1173
Mailing address
260 E 15TH ST, MERCED, CA 95341-6216
(209) 381-1113
(209) 381-1173
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376K00000X
CA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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