Individual
MERCEDES PERALTA VILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26900 NEWPORT RD STE 110, MENIFEE, CA 92584-9224
(951) 672-8060
(951) 672-7490
Mailing address
128 OAKTREE DR, PERRIS, CA 92571-2771
(951) 657-2286
(951) 672-7490
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A26494
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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