| NPI | 1669908562 |
|---|---|
| Other Name | JEFFRY JACOB MERCADO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A178578) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351036470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-12-16 |