Individual
MS. IMELDA ABALOS MERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2962 GAMMON CT, FAIRFIELD, CA 94533-6536
(707) 315-8251
Mailing address
2962 GAMMON CT, FAIRFIELD, CA 94533-6536
(707) 315-8251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
597542
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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