Individual
MARJORIE CHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
501 NW 179TH AVE, PEMBROKE PINES, FL 33029-2807
(954) 442-2828
Mailing address
3711 SW 160TH AVE, APT 112, MIRAMAR, FL 33027-4658
(786) 258-1345
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108513
FL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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