Provider Demographics
NPI:1174660443
Name:SNELL, MARIE L (CNA)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:L
Last Name:SNELL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:L
Other - Last Name:DRUMONDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:PO BOX 1453
Mailing Address - Street 2:
Mailing Address - City:WINTON
Mailing Address - State:CA
Mailing Address - Zip Code:95388-1453
Mailing Address - Country:US
Mailing Address - Phone:209-357-1419
Mailing Address - Fax:
Practice Address - Street 1:300 E 13TH STREET
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340
Practice Address - Country:US
Practice Address - Phone:209-381-6879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00449709376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide