Individual
MARCUS JEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 S VIRGIL AVE APT 412, LOS ANGELES, CA 90020-1445
(323) 313-4125
Mailing address
436 S VIRGIL AVE APT 412, LOS ANGELES, CA 90020-1445
(323) 313-4125
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002187
CA
Other
Enumeration date
07/28/2023
Last updated
12/22/2023
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