MERCEDES LONGTON CONVERSE

CENTRALIA, WA
NPI1780102970
Former NameMERCEDES SIMONE LONGTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-09-07
Last Update Date2019-11-11
Business Address
MERCEDES LONGTON CONVERSE PA-C
914 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 503-847-0141
Mailing Address
MERCEDES LONGTON CONVERSE PA-C
1640B SLEATER KINNEY RD NE
OLYMPIA, WA 98506-3730
Phone number: 503-847-0141