Individual
MONIQUE CERISSA MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
770 MAGNOLIA AVE, 2A, CORONA, CA 92879-3120
(951) 736-8144
Mailing address
770 MAGNOLIA AVE, 2A, CORONA, CA 92879-3120
(951) 736-8144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22982
CA
Other
Enumeration date
06/20/2013
Last updated
11/07/2016
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