Individual
ALLIYAH PERSILLA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41945 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315-2030
(562) 521-2775
Mailing address
41945 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315-2030
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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