GORGE CARLO VIZCARRA GRANADOS

MERCED, CA
NPI1841836426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-19
Last Update Date2019-11-19
Business Address
GORGE CARLO VIZCARRA GRANADOS
3360 N HIGHWAY 59 STE K
MERCED, CA 95348-9405
Phone number: 209-726-3090
Mailing Address
GORGE CARLO VIZCARRA GRANADOS
3568 WHITE WOLF CT
MERCED, CA 95340-0659
Phone number: 559-352-6479