Individual
ELENA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11796 ROCKINGHAM ST, MORENO VALLEY, CA 92557-6602
(909) 749-3169
Mailing address
11796 ROCKINGHAM ST, MORENO VALLEY, CA 92557-6602
(909) 749-3169
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
701625
CA
Other
Enumeration date
03/13/2020
Last updated
03/04/2025
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