Wanda Merced PTA

NPI 1467723478 - Community Health Worker - 172V00000X

NPI Details
NPI 1467723478
Gender Female
Enumeration Date 01/23/2012
Last Updated 01/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
12598 EMERALD LAKE DR
PANAMA CITY BEACH FL, 32407-3297, US
Phone (850) 258-2329
Fax
Business Location
12598 EMERALD LAKE DR
PANAMA CITY BEACH FL, 32407-3297, US
Phone (850) 258-2329
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Florida
License Number PTA2300
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According to our database, Wanda Merced PTA NPI is 1467723478, taxonomy code is 172V00000X and license number is PTA2300, license state is located at Florida. Wanda Merced PTA physically located at 12598 Emerald Lake Dr, Panama City Beach FL, 32407-3297. NPI Number Wanda Merced PTA has the Individual type.

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1467723478 NPI number is provided on an as is basis without warranty of any kind. 1467723478 is maintained by the National Plan & Provider Enumeration System. The contents of Wanda Merced PTA are for informational purposes only.