Liana Lourdes Marino PA-C

NPI 1710948450 - Physician Assistant - 363AM0700X

NPI Details
NPI 1710948450
Gender Female
Enumeration Date 03/31/2006
Last Updated 04/22/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
6780 INDIANA AVE. #110
RIVERSIDE CA, 92506, US
Phone (951) 682-1622
Fax (951) 682-5902
Business Location
6780 INDIANA AVE. #110
RIVERSIDE CA, 92506, US
Phone (909) 796-9294
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA18166
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According to our database, Mrs. Liana Lourdes Marino PA-C NPI is 1710948450, taxonomy code is 363AM0700X and license number is PA18166, license state is located at California. Liana Lourdes Marino PA-C physically located at 6780 Indiana Ave. #110, Riverside CA, 92506. NPI Number Liana Lourdes Marino PA-C has the Individual type.

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1710948450 NPI number is provided on an as is basis without warranty of any kind. 1710948450 is maintained by the National Plan & Provider Enumeration System. The contents of Liana Lourdes Marino PA-C are for informational purposes only.