Individual
DUSTIN MERCADO COLUMNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097
Mailing address
7345 WOODLAND DR, INDIANAPOLIS, IN 46278-1737
(317) 286-2885
(317) 536-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16092
ND
163W00000X
Registered Nurse
666975
NY
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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