Individual
MR. THEODORE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
191 N SUNRISE WAY, PALM SPRINGS, CA 92262-5201
(909) 379-3850
Mailing address
11626 DEERFIELD DR, YUCAIPA, CA 92399-6826
(909) 379-3850
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
529599
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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