MYLENE MERCADO ANTONIO

COLUMBIA, SC
NPI1235779281
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  22669)
Enumeration Date2020-01-07
Last Update Date2022-10-31
Business Address
Mrs. MYLENE MERCADO ANTONIO APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
Mailing Address
Mrs. MYLENE MERCADO ANTONIO APRN
111 DOCTOR CIR
COLUMBIA, SC 29203-6502
Phone number: 800-491-0909
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