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Ms. Emmanuelle Marie Mariano Ganzon
Medical Physician Assistant in East Los Angeles, California
NPI 1063134518

Emmanuelle Marie Mariano Ganzon is a Medical Physician Assistant based in Pacoima, CA and is specialized in Medical. Emmanuelle Marie Mariano Ganzon practices in East Los Angeles, CA. The NPI Number for Emmanuelle Marie Mariano Ganzon is 1063134518 and holds a License No. (California).

The current practice location address for Emmanuelle Marie Mariano Ganzon is 607 S Atlantic Blvd, East Los Angeles, CA and can be reached out via phone at 213-327-7828.

Location: 607 S Atlantic Blvd, East Los Angeles, CA, 91331-1519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063134518
Provider Name
Emmanuelle Marie Mariano Ganzon
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 S Atlantic Blvd, East Los Angeles, CA, 91331-1519
Phone Number
213-327-7828
Fax Number
Provider Enumeration Date
09/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
607 S Atlantic Blvd
City
East Los Angeles
State
California
Zip
90022-3211
Phone Number
213-327-7828
Fax Number
person
Provider Business Mailing Address Details
Address
607 S Atlantic Blvd
City
East Los Angeles
State
California
Zip
90022-3211
Phone Number
213-327-7828
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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