Individual
SEQUOIA ELISE MERCED
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3321 W 11TH AVE, EUGENE, OR 97402-3040
(541) 682-3550
Mailing address
488 ALEXANDER LOOP APT 4217, EUGENE, OR 97401-6735
(213) 944-9186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10011491
OR
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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