Individual
MELISSA J MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
8830 TALLON LN NE, LACEY, WA 98516-6641
(360) 701-7060
Mailing address
1472 DIAMOND RD SE, LACEY, WA 98503-2991
(360) 701-7060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60230142
WA
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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