Individual
FELICIA MERCADO CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5506 CANDLELIGHT DR, LA JOLLA, CA 92037-7711
(858) 442-2244
Mailing address
1023 OUTER RD SPC 8, SAN DIEGO, CA 92154-1373
(619) 274-6307
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F5587258
DRIVER LICENSE
CA
Enumeration date
04/26/2024
Last updated
04/26/2024
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