Individual
CARLO ANTHONY MERCADANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
201 N SPRAGUE AVE, KINGSTON, PA 18704-3506
(570) 710-4030
Mailing address
51 W PETTEBONE ST, FORTY FORT, PA 18704-3925
(570) 710-4030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005058
PA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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