LUIS MERCADO

VENICE, CA
NPI1205232303
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-11-17
Last Update Date2014-11-17
Business Address
-- LUIS MERCADO
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468
Mailing Address
-- LUIS MERCADO
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-396-6468