Individual provider · Type 1 NPI
Maryjane Duromola
Family Nurse Practitioner · Long Beach, CA
NPI number
1235986647
Active
Practice location
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Mailing address
2605 E Date Palm Paseo Apt 2226
Ontario, CA 91764-4672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95029802 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1235986647
Maryjane Duromola's National Provider Identifier is 1235986647, issued on May 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Jun 16, 2024.