Organization
PARK MERRITT DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY S MA (CEO)
(510) 914-3916
Entity
Organization
Contact information
Practice address
525 E 18TH ST, OAKLAND, CA 94606-2413
(510) 914-3916
Mailing address
525 E 18TH ST, OAKLAND, CA 94606-2413
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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