Individual
MISS MARIAH PIGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
12756 VAN NUYS BLVD, PACOIMA, CA 91331-1626
(818) 896-0531
Mailing address
6410 1/2 W OLYMPIC BLVD, 4560 ADMIRAL WAY, SUITE 303, MARINA DEL REY, CA 9002, LOS ANGELES, CA 90048-5330
(323) 935-3270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51158
CA
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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