Individual
MRS. TENEYA KAYLEEN MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5000
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
01/03/2022
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