Individual
JACQUELYN M. MERCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4111 TOWN BROOKE, MIDDLETOWN, CT 06457-6633
(860) 280-7505
Mailing address
4111 TOWN BROOKE, MIDDLETOWN, CT 06457-6633
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
001049
CT
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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