Individual
JAMES MARK MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(510) 869-6511
Mailing address
1419 PRESCOTT ST, OAKLAND, CA 94607-1583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
685856
CA
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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