Individual
MAREENA SUSAN GEEVARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5875 ASHWOOD DR, TROY, MI 48085-3993
(858) 692-7078
Mailing address
5875 ASHWOOD DR, TROY, MI 48085-3993
(858) 692-7078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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