MR. Nicanor Mercado Laudato JR., IDMT

NPI #1851527279 in Nellis Afb, Nevada

Provider Information

NPI Number: 1851527279
Entity Type: Individual
Name: MR. Nicanor Mercado Laudato JR., IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 4250 GRIFFISS AVE
City: Nellis Afb
State: Nevada
ZIP Code: 89191-7018
Phone: (702) 404-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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