Janelle Marie Marra
Family Doctor
1145 Sturgis Road Magtftc Mcagcc
Twentynine Palms
, California 92278-8250
Janelle Marie Marra
Family Doctor
1145 Sturgis Road Magtftc Mcagcc
Twentynine Palms
, California 92278-8250
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Janelle Marie Marra
- Box 788250 Magtftc Mcagcc
- Twentynine Palms, CA
- Zip : 92278-8250
- Phone :
Second Address
- Janelle Marie Marra
- 1145 Sturgis Road Magtftc Mcagcc
- Twentynine Palms, CA
- Zip : 92278-8250
- Phone : (760) 830-2190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 20A11137 | CA |
National Provider Identifier
| NPI | 1003070467 |
|---|---|
| Provider Name | Janelle Marie Marra |
| First Address | Twentynine Palms, CA 92278-8250 |
| Second Address | Twentynine Palms, CA 92278-8250 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2008 |
| Last Update Date | 19/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.