Individual
BRENDA ANN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11622 EL CAMINO REAL STE 100, SAN DIEGO, CA 92130-2051
(858) 663-7699
(858) 764-2405
Mailing address
4210 FEDERMAN LN, SAN DIEGO, CA 92130-2113
(858) 663-7699
(858) 764-2405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G75014
CA
207QA0505X
Adult Medicine Physician
G75014
CA
208D00000X
General Practice Physician
Primary
G75014
CA
Other
Enumeration date
04/09/2007
Last updated
11/22/2019
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