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Marilyn Tadiaman Pudol
Family Nurse Practitioner in El Segundo, California
NPI 1720573439

Marilyn Tadiaman Pudol is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Marilyn Tadiaman Pudol practices in El Segundo, CA. The NPI Number for Marilyn Tadiaman Pudol is 1720573439 and holds a License No. 95008725 (California).

The current practice location address for Marilyn Tadiaman Pudol is 2101 Rosecrans Ave # 3230, El Segundo, CA and can be reached out via phone at 323-628-8671.

Location: 2101 Rosecrans Ave # 3230, El Segundo, CA, 90065-2207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720573439
Provider Name
Marilyn Tadiaman Pudol
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Rosecrans Ave # 3230, El Segundo, CA, 90065-2207
Phone Number
323-628-8671
Fax Number
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Rosecrans Ave # 3230
City
El Segundo
State
California
Zip
90245-4749
Phone Number
323-628-8671
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Rosecrans Ave # 3230
City
El Segundo
State
California
Zip
90245-4749
Phone Number
323-628-8671
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95008725 (California)
Definition
Definition to come...
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