Individual
MARILYN ESTRADA INTENGAN
Active
Individual
MARILYN ESTRADA INTENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
4301084873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46540263100
—
MI
01
—
P00192611
RR MEDICARE
MI
Enumeration date
08/12/2006
Last updated
08/20/2007
Update your record
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