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Individual

MERRY D WIDMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1001 PROFESSIONAL DR, NAPA, CA 94558-6413
(707) 252-0494
(707) 252-7586
Mailing address
1561 3RD ST STE G, NAPA, CA 94559-2861
(707) 259-2000
(707) 259-0181

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10978
CA

Other

Enumeration date
02/25/2011
Last updated
02/25/2011
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