Individual
RENE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6160 MISSION GORGE RD, SAN DIEGO, CA 92120-3410
(619) 936-9542
Mailing address
1660 HOTEL CIR N, SAN DIEGO, CA 92108-2807
(619) 961-2120
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
11/15/2022
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