NPI | 1699299727 |
---|---|
Other Name | JOEL MARCEL MARIANO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006649) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006649) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2022-09-19 |