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Shantel Merlis

Licensed Vocational Nurse in Ceres, CA. Individual provider (NPI-1).

NPI number1124497201
StatusActive
Last updated in NPPESMar 9, 2016

Details

NPI
1124497201
Entity type
Individual (NPI-1)
Name
Shantel Merlis
Sex
Female
Sole proprietor
No
Enumeration date
Sep 18, 2015
Last updated
Mar 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse290141CAYes

Practice location

1904 Richland Ave
Ceres, CA 95307

Phone 209-000-0000

Mailing address

1904 Richland Ave
Ceres, CA 95307-4562

Phone 209-000-0000

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