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Individual

ANA MERCEDES CERRITOS-SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19355 SW 65TH AVE APT A5, TUALATIN, OR 97062
(971) 224-5540
Mailing address
19355 SW 65TH AVE APT A5, TUALATIN, OR 97062

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
755309
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
755309
OR
Enumeration date
06/07/2016
Last updated
06/07/2016
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