Individual
SUSAN MARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
41120 WASHINGTON ST, SUITE #101, BERMUDA DUNES, CA 92203-9215
(760) 772-2823
(760) 772-2819
Mailing address
495 GEORGIA CT, CLAREMONT, CA 91711-5114
(909) 624-1239
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306702
CA
Other
Enumeration date
02/06/2009
Last updated
03/18/2015
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