Individual provider · Type 1 NPI

Marilyn Juliana Demesa

Student in an Organized Health Care Education/Training Program · Richmond, CA

NPI number 1619645355 Active

Practice location

205 39th St
Richmond, CA 94805-2212

Fax (510) 412-0567

Mailing address

4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222

Other practice locations

  • 4892 San Pablo Dam Rd, El Sobrante, CA 94803-3222 · (510) 237-3990

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619645355

Marilyn Juliana Demesa's National Provider Identifier is 1619645355, issued on Aug 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, CA. The record was last updated on Jun 27, 2025.