Individual
MARY KAY MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17230 NOOPIMING DR, ONAMIA, MN 56359-4522
(320) 532-7776
(320) 532-7524
Mailing address
17230 NOOPIMING DR, ONAMIA, MN 56359-4522
(320) 532-7776
(320) 532-7524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 191107-5
MN
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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