Individual
JOHN JAY MARCELO MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8760 GREENWOOD AVE N APT N502, SEATTLE, WA 98103-3678
(361) 537-9464
Mailing address
8760 GREENWOOD AVE N APT N502, SEATTLE, WA 98103-3678
(361) 537-9464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160668651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709350
PROFESSIONAL ORGANIZATION
—
Enumeration date
04/11/2022
Last updated
04/11/2022
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