NPI 1205056934
Carol Ann Mersereau, DIPLAC
Practice location
- Address
- 280 East Broadway Suite 806, Jackson, WY 83001
- Phone
- (307) 733-0507
- Mailing address
- PO Box 331, Moose, WY 83012-0331
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1205056934
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.