Individual
MR. CARMEN MARMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
1161 TIGER TAIL DR, RIVERSIDE, CA 92506-5423
(951) 780-2729
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10400
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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