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Individual
MARGO MARIE LELLA
Active
Individual
MARGO MARIE LELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95068616
CA
363LF0000X
Family Nurse Practitioner
Primary
95021401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP11576F
—
CA
Enumeration date
09/07/2016
Last updated
08/19/2026
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