Individual
MESANG EBONGMERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 BISSO LN STE 200, CONCORD, CA 94520-4886
(925) 521-5799
Mailing address
4442 FALL LN, OAKLEY, CA 94561-2468
(510) 565-9296
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42101
CA
Other
Enumeration date
12/16/2022
Last updated
01/03/2023
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