Individual
JULIE MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 MAYO ST, RIDGECREST, CA 93555-8813
(760) 301-6889
Mailing address
1540 MAYO ST, RIDGECREST, CA 93555-8813
(760) 301-6889
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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