Individual
JEREL E MERIDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-3800
Mailing address
871 WINN RD, JACKSON, AL 36545-5507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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