Mercedes Longton Converse, PA-C

NPI #1780102970 in Centralia, Washington

Provider Information

NPI Number: 1780102970
Entity Type: Individual
Name: Mercedes Longton Converse, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 7, 2017
Last Updated: Nov 11, 2019

Practice Location

Address: 914 S SCHEUBER RD
City: Centralia
State: Washington
ZIP Code: 98531-9027
Phone: (503) 847-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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