Individual
LILIANA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 DE SOTO ST, PONCA CITY, OK 74604-4003
(720) 326-6161
Mailing address
1400 DE SOTO ST, PONCA CITY, OK 74604-4003
(720) 326-6161
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
018587
CO
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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