Individual
CARLA NINA MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6165 N FIGARDEN DR, APT 101, FRESNO, CA 93722-7968
(559) 224-0920
Mailing address
6165 N FIGARDEN DR, APT 101, FRESNO, CA 93722-7968
(559) 224-0920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65534
CA
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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