Individual
MARIELLE BEATRIX M NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX, 2582, TOLUCA LAKE, CA 91610-0601
(323) 632-6487
Mailing address
PO BOX, 2582, TOLUCA LAKE, CA 91610-0601
(323) 632-6487
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95179435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720446925
CNS
CA
Enumeration date
02/02/2016
Last updated
03/13/2020
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