Individual
MARCHE KRISTEN CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
780 ATLANTIC AVE, LONG BEACH, CA 90813-4565
(562) 624-1111
Mailing address
780 ATLANTIC AVE, LONG BEACH, CA 90813-4565
(562) 624-1111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95008435
CA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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