Individual
MRS. MERCEDES COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1603 MAHANTONGO ST, POTTSVILLE, PA 17901-3222
(570) 516-9535
Mailing address
PO BOX 905, POTTSVILLE, PA 17901-0905
(570) 516-9535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
704537
NY
163W00000X
Registered Nurse
Primary
RN755495
PA
Other
Enumeration date
05/04/2022
Last updated
05/07/2022
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