Mercedez Shampagne Alexander, LVN
Licensed Vocational Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1548036627
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1548036627
- Entity type
- Individual (NPI-1)
- Name
- Mercedez Shampagne Alexander
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2023
- Certification date
- Nov 29, 2023
- Last updated
- Nov 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 735559 | CA | Yes |
Practice location
1733 Euclid AveSan Diego, CA 92105-5414
Phone 619-263-0433
Mailing address
190 Boomer Pl Unit 206Chula Vista, CA 91910-3190
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