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1245754258
MARISSA JENISE TADI
IRVINE, CA
NPI
1245754258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95007044)
Enumeration Date
2017-08-01
Last Update Date
2022-08-29
Business Address
MARISSA JENISE TADI NP
1000 FIVEPOINT
IRVINE, CA 92618-2377
Phone number: 949-671-4673
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Mailing Address
MARISSA JENISE TADI NP
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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