Individual
WANDA MERCED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12598 EMERALD LAKE DR, PANAMA CITY BEACH, FL 32407-3297
(850) 258-2329
Mailing address
12598 EMERALD LAKE DR, PANAMA CITY BEACH, FL 32407-3297
(850) 258-2329
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA2300
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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