Individual
MARSHA MARTINEZ MACKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21651 VILLA PACIFICA CIR, CARSON, CA 90745-1706
(424) 469-7545
Mailing address
21651 VILLA PACIFICA CIR, CARSON, CA 90745-1706
(424) 469-7545
(424) 469-7545
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
759237
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027147
CA
Other
Enumeration date
02/06/2018
Last updated
01/03/2024
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