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Individual

MRS. NICHOLE ANDREE MERCADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDA.

Contact information

Practice address
XII CALLE ALFONSO, ESQUINA AVENIDA UNIVERSIDAD INTERAMERICANA, SAN GERMAN, PR 00683
(787) 892-9911
Mailing address
100 CALLE MIRTOS, URB EL VALLE, LAJAS, PR 00667

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5830
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5830
SELF
PR
Enumeration date
07/25/2017
Last updated
07/25/2017
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