Individual
MARYANN SIU ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 826-8000
Mailing address
5901 E 7TH ST, LONG BEACH, CA 90822-5201
(562) 475-3658
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
820884
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95012538
CA
Other
Enumeration date
06/05/2019
Last updated
10/11/2024
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