Individual
MRS. MARILYN T MCNABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
303 E VANDERBILT WAY FL 3, SAN BERNARDINO, CA 92415-0026
(909) 388-0801
Mailing address
303 E VANDERBILT WAY FL 3, SAN BERNARDINO, CA 92415-0026
(909) 388-0801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
396472
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
396472
CA
Other
Enumeration date
07/16/2012
Last updated
11/05/2019
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