Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 262994 | CA |
NPI | 1043461544 |
---|---|
Provider Name | Ms. Marsha Ann Malgesini |
First Address | Sonora, CA 95370-5939 |
Second Address | Sonora, CA 95370-5939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 02/10/2008 |