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MARC GERDES

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1720360985

Individual Registrant:
 MARC  GERDES 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
312 CRESCENT ST  GREENVILLE, CA 95947 US
Tel: 530-284-7007  Fax: --

Contact information for business:
PO BOX 554  GREENVILLE, CA 95947-0554 US
Tel: 530-284-7007  Fax: --

Registration Information:
NPI: 1720360985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
NV1253993610035

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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