Individual
JESSICA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4500
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
13596306-1206
UT
363A00000X
Physician Assistant
Primary
13596306-1206
UT
Other
Enumeration date
05/21/2022
Last updated
03/04/2024
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