Individual
MARGARITA M MARMOLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 393-6363
Mailing address
7201 NEWPORT AVE APT 304, NORFOLK, VA 23505-3923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179977
VA
363LF0000X
Family Nurse Practitioner
24906
GA
Other
Enumeration date
07/18/2019
Last updated
03/11/2021
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