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Individual

MARINA EVIE COSKINAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 900-7681
Mailing address
31103 RANCHO VIEJO RD STE D3319, SAN JUAN CAPISTRANO, CA 92675-1759

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95031706
CA

Other

Enumeration date
09/11/2024
Last updated
09/11/2024
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