Individual
ERICA MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 KEYSTONE PACIFIC PKWY UNIT B, PATTERSON, CA 95363-8874
(209) 892-9100
(209) 892-9102
Mailing address
1700 KEYSTONE PACIFIC PKWY UNIT B, PATTERSON, CA 95363-8874
(209) 892-9100
(209) 892-9102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA63608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2446SIV0
—
CA
Enumeration date
06/27/2023
Last updated
08/21/2024
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