Individual
RUTH AMBER MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4244 VIRGINIA AVE, COLLINSVILLE, VA 24078-1935
(276) 647-3766
Mailing address
127 CANTERBURY RD, DANVILLE, VA 24541-2663
(276) 618-2294
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004587
VA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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