# MARY ANNE ARCILLA TABLIZO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295889905
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A76613 | CA | — |
| 2080P0214X | Pediatric Pulmonology Physician | A76613 | CA | Yes |
| 2080S0012X | Pediatric Sleep Medicine Physician | A76613 | CA | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 05/06/2024