Individual
MR. DENNIS XAYYAPHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
300 E 15TH ST STE C, MERCED, CA 95341-6217
(209) 386-1092
(209) 720-0207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
95340241
CA
164X00000X
Licensed Vocational Nurse
712082
CA
Other
Enumeration date
09/02/2020
Last updated
12/25/2023
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