Individual
DR. MARISSA DANIELLE TOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 TREVINO AVE, MANTECA, CA 95337-4200
(209) 788-8180
(209) 783-0036
Mailing address
145 TREVINO AVE, MANTECA, CA 95337-4200
(209) 788-8180
(209) 783-0036
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60675079
WA
2086S0129X
Vascular Surgery Physician
Primary
A154805
CA
2086S0129X
Vascular Surgery Physician
MD60675079
WA
2086S0129X
Vascular Surgery Physician
MT200104
PA
Other
Enumeration date
03/03/2014
Last updated
10/25/2022
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