Individual
MR. THEAREON ROBERT PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
340 E YOSEMITE AVE, MERCED, CA 95340-9167
(209) 724-5411
Mailing address
340 E YOSEMITE AVE, MERCED, CA 95340-9167
(209) 724-5411
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
690819
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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