Individual
MERCEDES ANGELIQUE HIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1325 SUMNEYTOWN PIKE, GWYNEDD VALLEY, PA 19437
(215) 624-6840
Mailing address
2621 ROBERTS AVE, PHILADELPHIA, PA 19129-1207
(267) 994-6161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005400
PA
Other
Enumeration date
01/28/2013
Last updated
12/31/2015
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