Most Relevant Information
Provider Data
| NPI Number: | 1003329061 |
| Provider Name: | SANDRA MERCADO LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 278061 |
Most Important Dates
| Enumeration Date: | 11/13/2017 |
| Last Updated: | 11/13/2017 |
Provider Practice Location
47915 OASIS ST
INDIO
CA
922016950
Practice Location Phone/Fax
| Phone: | 7608638638 |
| Fax: |
Provider Mailing Location
40711 CARMEL MOUNTAIN DR
INDIO
CA
922033515
Provider Mailing Phone/Fax
| Phone: | 9516758230 |
| Fax: |