Individual
ANDREA MARINCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3833 WORSHAM AVE STE 300, LONG BEACH, CA 90808-1766
(562) 595-5421
(562) 426-2862
Mailing address
3833 WORSHAM AVENUE SUITE 300, LONG BEACH, CA 90808-1745
(562) 595-5421
(562) 997-0754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86071266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN-PROCESS
—
CA
Enumeration date
11/08/2017
Last updated
01/02/2018
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