Individual
MARISELLA FUSTAMANTE CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 823-0176
Mailing address
1 HARRINGTON RD, MORAGA, CA 94556-2814
(415) 823-3005
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
773064
CA
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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