Breanna Mae Merriam
NPI #1518500917 in Yucaipa, California
Provider Information
- NPI Number
- 1518500917
- Entity Type
- Individual
- Name
- Breanna Mae Merriam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Oct 18, 2019
- Last Updated
- Oct 18, 2019
Practice Location
- Address
- 12275 16TH ST APT C
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-1773
- Phone
- (951) 805-6107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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