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Individual

MARIANNA ELIZABETH JONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, RN, BSN

Contact information

Practice address
373 MORGAN HILL ST, SIMI VALLEY, CA 93065-7685
(805) 414-2226
Mailing address
373 MORGAN HILL ST, SIMI VALLEY, CA 93065-7685
(805) 414-2226

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
577168
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95032293
CA

Other

Enumeration date
12/12/2023
Last updated
10/30/2024
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