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Individual

MS. CAROL A MARIETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8470
(760) 773-1467
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8470

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13856
CA

Other

Enumeration date
06/17/2005
Last updated
01/26/2021
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