Individual
MRS. MICHELLE MARIE MERTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
115 MALL DR, HANFORD, CA 93230-5786
(559) 582-9000
Mailing address
8840 N FULLER AVE, FRESNO, CA 93720-1626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001264
CA
Other
Enumeration date
02/20/2020
Last updated
02/24/2020
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