Individual
MARC ZOLLA TALISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
Mailing address
43794 OAK DR, THREE RIVERS, CA 93271-9779
(559) 561-6805
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
A24315
CA
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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