Individual
CARRIE JOHNSON MERCURIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7878 CHASE RD, LIMA, NY 14485-9604
(585) 314-1915
Mailing address
7878 CHASE RD, LIMA, NY 14485-9604
(585) 314-1915
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290074-1
NY
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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