Individual
MARISSA JANE NEGRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5236
Mailing address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5236
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95010212
CA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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