Individual
ANTHONY MARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(626) 715-0171
Mailing address
1910 S UNION ST UNIT 4053, ANAHEIM, CA 92805-7416
(626) 715-0171
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN748929
CA
Other
Enumeration date
03/19/2025
Last updated
05/30/2025
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