Individual
KAYLA L MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 COOPER PLZ RM 408, CAMDEN, NJ 08103
(856) 325-6674
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00522700
NJ
363A00000X
Physician Assistant
PENDING
DE
Other
Enumeration date
10/05/2018
Last updated
06/26/2019
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