Individual
MARISELA MARINEZ LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
7600 OLD DOMINION CT, APTOS, CA 95003
(831) 458-6200
Mailing address
7600 OLD DOMINION CT, APTOS, CA 95003-3821
(831) 458-6200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52495
CA
Other
Enumeration date
09/02/2015
Last updated
01/06/2020
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