Doctor Name: | TINA MARIE MARLER |
NPI Number: | 1043409261 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC II |
License Number: | 120 |
Business Practice Address: | 891 Mountain Ranch Rd San Andreas, CA - 952499713 |
Business Phone Number: | 2097546798 |
Business Fax Number: | 2097549604 |
Mailing Address: | 891 Mountain Ranch Rd, SAN ANDREAS |
State: | CA |
Postal Code: | 952499713 |
Phone Number: | 2097546798 |
Fax Number: | 2097549604 |
NPI Enumeration Date: | 10/24/2007 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |