Individual
FELCYNTH MAY DESTURA MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, CNS, RN
Contact information
Practice address
170 CRESTMOOR CIR, PACIFICA, CA 94044-1514
(650) 219-3726
Mailing address
170 CRESTMOOR CIR, PACIFICA, CA 94044-1514
(650) 219-3726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001479
CA
364S00000X
Clinical Nurse Specialist
4047
CA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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