Individual
ADRIENNE VANLEER ADA MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E DOMINGUEZ ST, CARSON, CA 90746-3600
(310) 715-7755
Mailing address
1407 BRETT PL APT 102, SAN PEDRO, CA 90732-5044
(310) 283-5794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010379
CA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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