Individual
JUSTIN DEFENDIS MERTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8840 N FULLER AVE, FRESNO, CA 93720-1626
(559) 367-4171
Mailing address
8840 N FULLER AVE, FRESNO, CA 93720-1626
(559) 367-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
823734
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002820
CA
Other
Enumeration date
01/17/2024
Last updated
03/17/2026
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