Individual
ANN MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5481 TENDERFOOT DR, FONTANA, CA 92336-1143
(909) 239-2818
Mailing address
5481 TENDERFOOT DR, FONTANA, CA 92336-1143
(909) 239-2818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51909
CA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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