Individual
AVALON ALYSSA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-3437
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-3437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2163
NH
Other
Enumeration date
01/02/2023
Last updated
03/01/2024
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