Provider Information for 1649787094
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Mrs. JOANN MESHAMEL
Sex: Female
NPI: 1649787094
Last Updated: 2023-11-22
Certification Date: 2023-11-22
Certification Date: 2023-11-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649787094 | ||||||||
| Enumeration Date | 2018-01-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4174 FAIRCOVE CT POMONA, CA 91766-4636 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1425 W FOOTHILL BLVD UPLAND, CA 91786-8007 United States Phone: 877-527-7227 | Fax: | ||||||||
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