Marietta Formoso Light is a Obstetrics & Gynecology Nurse Practitioner based in Fresno, CA and is specialized in Obstetrics & Gynecology. Marietta Formoso Light practices in Clovis, CA and has the professional credentials of NP-C. The NPI Number for Marietta Formoso Light is 1750368650 and holds a License No. 6030 (California).
The current practice location address for Marietta Formoso Light is 782 Medical Center Dr E Ste 212, Clovis, CA and can be reached out via phone at 559-451-3676 and via fax at 559-451-3680. You can also correspond with Marietta Formoso Light through the mailing address at 2625 E DIVISADERO ST, FRESNO, CA - 93721-1431 (mailing address contact number: 559-443-2682).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302503 | 01 | CA | REGISTERED NURSE LIC |
| 6030 | 01 | CA | NURSE PRACTITIONER FURN |
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