Individual
MARIENA LOUISE NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
599 TOMALES, CLINIC, PETALUMA, CA 94952-5000
(707) 765-7200
Mailing address
4145 SHADOW LN, APT.#527, SANTA ROSA, CA 95405-5265
(915) 345-4077
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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