Organization
MERSEA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY ALLEN JENKINS (PRESIDENT)
(530) 748-6454
Entity
Organization
Contact information
Practice address
429 MAIN ST # 15, PLACERVILLE, CA 95667-5607
(530) 409-3075
Mailing address
PO BOX 1623, SHINGLE SPRINGS, CA 95682-1623
(530) 409-3075
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/20/2023
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