Individual
DIANDRA ROMAN MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 CINNAMON BARK PL, VALRICO, FL 33594-3600
(787) 454-1049
Mailing address
206 CINNAMON BARK PL, VALRICO, FL 33594-3600
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
9405097
FL
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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