Individual
MARCIA BRENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 MYRTLE AVE, EUREKA, CA 95501-1406
(707) 443-3557
Mailing address
579 HIDDEN VALLEY RD, BAYSIDE, CA 95524-9049
(707) 443-3557
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
262859
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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