Individual
DR. MARILYN-LU WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC, PHD, CCCN,
Contact information
Practice address
2763 E SHAW AVE, SUITE 102, FRESNO, CA 93710-8220
(559) 294-8112
Mailing address
948 MOODY AVE, CLOVIS, CA 93619-7553
(559) 299-6592
(559) 299-6592
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN373569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098160
—
CA
01
—
P00084289
RAILROAD MEDICARE
CA
Enumeration date
12/02/2005
Last updated
07/08/2007
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