Individual
ROBERTO EMILIANO MERAZ NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6642 FULTON AVE, VAN NUYS, CA 91401-1312
(818) 212-1418
Mailing address
6642 FULTON AVE, VAN NUYS, CA 91401-1312
(818) 212-1418
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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