Individual
MARIELLE ANNE S NGO
Active
Individual
MARIELLE ANNE S NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95143817
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
152004
CA
Other
Enumeration date
03/30/2023
Last updated
03/03/2025
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