Individual
JENNIFER FAITH MARZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 N PROSPECT AVE STE 103, REDONDO BEACH, CA 90277-3033
(310) 376-8816
(424) 212-5984
Mailing address
520 N PROSPECT AVE STE 103, REDONDO BEACH, CA 90277-3033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 16925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 16925
PA LICENSE NUMBER
CA
Enumeration date
07/05/2006
Last updated
10/26/2023
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