Individual
DANIELLA MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 OCEAN PARK BLVD, SANTA MONICA, CA 90405-3301
(310) 392-9474
Mailing address
3435 OCEAN PARK BLVD, SANTA MONICA, CA 90405-3301
(310) 392-9474
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
270984
CA
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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