Individual
IRIS SUFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W 26TH ST, MERCED, CA 95340-2804
(209) 723-2911
Mailing address
1246 PASEO REDONDO DR, MERCED, CA 95348-1829
(310) 621-6532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11214
CA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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