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Individual
MRS. VENUS MACIAS MARIN
Active
Individual
MRS. VENUS MACIAS MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP(NURSE PRACTITIONE
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
584175
CA
363LF0000X
Family Nurse Practitioner
16914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
584175
RN
CA
Enumeration date
11/07/2006
Last updated
08/27/2009
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