Individual
KIMBERLY G MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-112 HALOKO PL, EWA BEACH, HI 96706-3922
(808) 428-1174
(808) 744-4397
Mailing address
91-112 HALOKO PL, EWA BEACH, HI 96706-3922
(808) 428-1174
(808) 744-4397
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1-200058
HI
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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