Individual
STEPHANY ANNETTE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
123 ANDERSON ST, HACKENSACK, NJ 07601-3694
(201) 488-0654
Mailing address
325 MAIN ST APT 2A, LITTLE FERRY, NJ 07643-1311
(973) 641-8571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49464000
NJ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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