Individual
MALLORY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 421-7019
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 421-7019
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018358
CA
Other
Enumeration date
09/13/2021
Last updated
07/26/2023
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