Most Relevant Information
Provider Data
NPI Number: | 1003394875 |
Provider Name: | MERCEDES FUNES |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/02/2018 |
Last Updated: | 01/12/2024 |
Provider Practice Location
1523 OAK ST NW
WASHINGTON
DC
200103009
Practice Location Phone/Fax
Phone: | 2027973655 |
Fax: |
Provider Mailing Location
1523 OAK ST NW
WASHINGTON
DC
200103009
Provider Mailing Phone/Fax
Phone: | 2027973655 |
Fax: |