Individual
MS. MERCADE WALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA/HHA
Contact information
Practice address
3501 XENIUM LANE, PLYMOUTH, MN 55441
(651) 295-3609
Mailing address
3501 XENIUM LANE, PLYMOUTH, MN 55441
(651) 295-3609
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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