Individual
MINERVA MARQUEZ MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-2641
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95012243
CA
Other
Enumeration date
09/06/2019
Last updated
07/30/2020
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