Individual
MARCIA DIANNE KAMMAN VAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NNP, PNP
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5570
Mailing address
12975 AGUSTIN PL APT 103, PLAYA VISTA, CA 90094-2311
(310) 745-1516
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
562521
CA
Other
Enumeration date
12/21/2006
Last updated
11/19/2015
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