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Individual

FREDERICK V MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(520) 626-3808
Mailing address
8690 SIERRA COLLEGE BLVD STE 160-324, ROSEVILLE, CA 95661-5961

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95222642
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038066
CA

Other

Enumeration date
08/24/2021
Last updated
03/06/2026
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