Individual
BROOKE LYNN MERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3912 RIVERMARK PLZ, SANTA CLARA, CA 95054-4155
(800) 972-5547
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(800) 972-5547
(330) 965-3790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54138
CA
Other
Enumeration date
08/20/2015
Last updated
06/03/2020
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