Individual
CARLY RENEE MARSHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 E SHAW AVE, FRESNO, CA 93710-7919
(559) 221-3314
Mailing address
563 W MUNCIE AVE, CLOVIS, CA 93619-8352
(559) 885-2121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A128636
CA
Other
Enumeration date
03/26/2012
Last updated
06/24/2022
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