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Marietta Maribel Breaux, PA-C

Physician Assistant in Whittier, CA. Individual provider (NPI-1).

NPI number1346563871
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1346563871
Entity type
Individual (NPI-1)
Name
Marietta Maribel Breaux
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2010
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA20576CAYes

Practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Phone 626-384-0726

Mailing address

20917 E Mesarica Rd
Covina, CA 91724-3313

Phone 626-384-0726

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