Individual
MARLENA MAE ALAZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 W BELGRAVIA AVE, FRESNO, CA 93706-3909
(559) 265-2045
(559) 265-2068
Mailing address
900 W BELGRAVIA AVE, FRESNO, CA 93706-3909
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
389693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389693
RN
CA
Enumeration date
11/25/2020
Last updated
11/25/2020
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