MR. Larry Merritt III, RADT
NPI #1740009810 in Azusa, California
Provider Information
- NPI Number
- 1740009810
- Entity Type
- Individual
- Name
- MR. Larry Merritt III, RADT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- RADT
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 23701 E EAST FORK RD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1477
- Phone
- (626) 910-1202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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