MARIEN L LAKE

FONTANA, CA
NPI1881761641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP8915)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
MARIEN L LAKE NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
MARIEN L LAKE NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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