Individual
MARSHALL ALLAN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 MEYENBERG AVE, RIPON, CA 95366-2920
(209) 599-2425
Mailing address
230 MEYENBERG AVE, RIPON, CA 95366-2920
(209) 599-2425
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N6852553
CA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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