Individual
EWA MICKIEWICZ-MARCINKOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2900
Mailing address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD435282
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102322768
—
PA
Enumeration date
07/16/2008
Last updated
10/29/2020
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