Individual
ALEXA ROSS MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1701 CHURCH ST, SAN FRANCISCO, CA 94131-2412
(415) 826-1701
(415) 826-1704
Mailing address
1258 42ND AVE, SAN FRANCISCO, CA 94122-1209
(773) 835-2789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95122397
CA
363L00000X
Nurse Practitioner
Primary
95006469
CA
Other
Enumeration date
10/01/2012
Last updated
04/08/2024
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