Individual
MR. RYAN ALLEN MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 E. 17TH PL #L COSTA MESA, COSTA MESA, CA 92627
(951) 202-8927
Mailing address
313 E. 17TH PL #L COSTA MESA, COSTA MESA, CA 92627
(951) 202-8927
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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