Individual
CHRISTEL MERCADO BONNEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 QUARRY LAKE DR STE 300, BALTIMORE, MD 21209-3746
(410) 377-8900
(410) 377-0576
Mailing address
3700 TOONE ST APT 2675, BALTIMORE, MD 21224-5171
(410) 967-1125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006228
MD
Other
Enumeration date
09/29/2016
Last updated
07/29/2022
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