Individual
DR. MARIANNE ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON STREET, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(949) 295-9770
Mailing address
10991 YUNIS CT, YUCAIPA, CA 92399-9475
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A117382
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2008
Last updated
09/19/2012
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