Individual
DENA MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5069
(559) 264-6029
Mailing address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5069
(559) 264-6029
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100003AN
CA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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