Marsha Martinez Macksa, | |
21651 Villa Pacifica Cir, Carson, CA 90745-1706 | |
(424) 469-7545 | |
Not Available |
Full Name | Marsha Martinez Macksa |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 21651 Villa Pacifica Cir, Carson, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932608866 | NPI | - | NPPES |
Entity Name | Pantea Farhadi Md A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689943946 PECOS PAC ID: 6305011545 Enrollment ID: O20111216000075 |
Mailing Address | Practice Location Address |
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Marsha Martinez Macksa, 21651 Villa Pacifica Cir, Carson, CA 90745-1706 Ph: (424) 469-7545 | Marsha Martinez Macksa, 21651 Villa Pacifica Cir, Carson, CA 90745-1706 Ph: (424) 469-7545 |
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