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Individual

MARISELA TALI VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5555 N FRESNO ST, FRESNO, CA 93710-6006
(559) 430-8211
Mailing address
132 OMAHA AVE, CLOVIS, CA 93619-7616
(765) 606-8396

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14-149883-012
KS
363LG0600X
Gerontology Nurse Practitioner
Primary
95026491
CA

Other

Enumeration date
10/08/2019
Last updated
04/21/2026
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