Individual
MARSII DEGRASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95005481
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95005481
CA
Other
Enumeration date
11/15/2016
Last updated
02/11/2017
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