Individual
ANGELA EUNICE CLEOFE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-4000
Mailing address
3502 S N ST APT A, FORT SMITH, AR 72903-0536
(662) 715-7087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218195
AR
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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