Search › California › 164X00000X
Breanna Merriam
NPI 1518500917 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12275 16th St Apt C
Yucaipa, CA 92399 - Phone
- (951) 805-6107
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California