Individual
MARINA VLADIMIROVNA PODLUBNAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
(925) 282-1778
Mailing address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008140
CA
Other
Enumeration date
08/26/2016
Last updated
08/06/2024
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