SANTA CRUZ PERSONAL PHYSICIANS
Marriage and Family Therapists at Frederick St, Santa Cruz, CA

License number
California G51038
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. MERCEDES GRACE LAURENCIN MD
Title: PRESIDENT CEO
Phone: (831) 421-9535
Address
Address
634 Frederick St, Santa Cruz, CA 95062
National Provider ID: 1205933496
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SANTA CRUZ PERSONAL PHYSICIANS, INC

634 Frederick St, Santa Cruz, CA 95062

Registration:
Dec 20, 2004
State ID:
C2693902
Business type:
Articles of Incorporation
President:
Mercedes Grace Laurencin (President)

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