Individual
BRIANA MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41945 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315-2030
(909) 866-5070
Mailing address
41945 BIG BEAR BLVD #222, BIG BEAR, CA 92315
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
10/06/2022
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