Individual
JANELLE ANNE MERCURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4 W AVENIDA SAN GABRIEL, SAN CLEMENTE, CA 92672-3263
(949) 370-0829
Mailing address
4 W AVENIDA SAN GABRIEL, SAN CLEMENTE, CA 92672-3263
(949) 370-0829
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
818790
CA
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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