Individual
MEREDITH BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2605 E 4TH ST, LONG BEACH, CA 90814-1205
(770) 846-4142
Mailing address
2605 E 4TH ST, LONG BEACH, CA 90814-1205
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4278
CA
390200000X
Student in an Organized Health Care Education/Training Program
772606
CA
Other
Enumeration date
08/27/2012
Last updated
11/29/2021
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