Individual
CIERA NOELE MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1200 W TOKAY ST, LODI, CA 95240-3810
(209) 334-0830
Mailing address
1200 W TOKAY ST, LODI, CA 95240-3810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
36136
CA
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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