Individual
MS. BAYCELISA MERCADO ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330
Mailing address
6703 CITRINE CT, MIRA LOMA, CA 91752-4444
(951) 808-0801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 17725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962525360
—
CA
Enumeration date
04/09/2007
Last updated
02/04/2022
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