JOSE ANTONIO MERCADO

FAIRFAX, VA
NPI1437454626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0001199514)
Enumeration Date2011-01-19
Last Update Date2013-12-24
Business Address
-- JOSE ANTONIO MERCADO CRNA
3998 FAIR RIDGE DR
FAIRFAX, VA 22033-2907
Phone number: 703-295-9360
Mailing Address
-- JOSE ANTONIO MERCADO CRNA
PO BOX 37090
BALTIMORE, MD 21297-3090
Phone number: 703-295-9360
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