Individual
JUSTIN RYAN MEERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 S MAIN ST, CORONA, CA 92882-5941
(951) 736-4700
Mailing address
25558 HURON ST, LOMA LINDA, CA 92354-3721
(909) 709-0607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9361
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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