Individual
MS. EVANGELINE DOMINGO MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 490-2577
Mailing address
85 NEW JERSEY DR, DUNEDIN, FL 34698-2535
(727) 215-8698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1253471
FL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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