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Organization
MARIEL MURIEL PASTRANA MD INC
Active
Organization
MARIEL MURIEL PASTRANA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIEL MURIEL PASTRANA MD (PRESIDENT)
(770) 289-8185
Entity
Organization
Contact information
Practice address
4364 GARDENIA ST, SAN RAMON, CA 94582-6013
(770) 289-8185
Mailing address
4364 GARDENIA ST, SAN RAMON, CA 94582-6013
(770) 289-8185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A127358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A127358
LICENSE
CA
Enumeration date
06/07/2018
Last updated
06/07/2018
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