Individual provider · Type 1 NPI

Mersaydiez Crew

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

NPI number 1740193200 Active

Practice location

3114 Fogarty Ln
Stockton, CA 95212-9359

Call (408) 667-1684 Map

Specialties and licenses

TaxonomyCodeLicense
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 1740193200

Mersaydiez Crew's National Provider Identifier is 1740193200, issued on Sep 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Sep 25, 2026.