Individual
MIRISSA NICOLE BUTTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3300
Mailing address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3300
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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