DIANE IRIS GONZALES MERCADO

ELLICOTT CITY, MD
NPI1720250061
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070016204)
Enumeration Date2008-03-27
Last Update Date2008-03-27
Business Address
Ms. DIANE IRIS GONZALES MERCADO R.P.T.
3290 N RIDGE RD SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-750-9006
Mailing Address
Ms. DIANE IRIS GONZALES MERCADO R.P.T.
3290 N RIDGE RD SUITE 290
ELLICOTT CITY, MD 21043-3655
Phone number: 410-750-9006