Search › California › 363A00000X
Meredith Dettmar, P.A.-C
NPI 1902275993 · on the registry since 2015 · sole proprietor
Practice
- Address
- 10787 Laurel St
Rancho Cucamonga, CA 91730 - Phone
- (099) 982-7741
- Organisation at this address
- John A Fagan Md Family Practice Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California