Individual
MRS. ALISON MARIAN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
Mailing address
61 WESTBURY ST, THOUSAND OAKS, CA 91360-3654
(805) 551-4499
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23109
CA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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