Individual
DENISE INTAL MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLS PHM
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 516-0749
Mailing address
3102 N FRONT ST, HERCULES, CA 94547-5465
(415) 516-0749
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
1083
CA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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