MARIELLE TAVARES

LOS ANGELES, CA
NPI1376282475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95020541)
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
MARIELLE TAVARES
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 310-948-6356
Mailing Address
MARIELLE TAVARES
5743 VENTURA CANYON AVE
VALLEY GLEN, CA 91401-4533
Phone number: 310-948-6356
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