Individual provider · Type 1 NPI
Ann Marciano
Medical Physician Assistant · Fontana, CA
NPI number
1053715797
Active
Practice location
5481 Tenderfoot Dr
Fontana, CA 92336-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 51909 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1053715797
Ann Marciano's National Provider Identifier is 1053715797, issued on Oct 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fontana, CA. The record was last updated on Oct 9, 2014.