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Dr. Mariana Revelo, MD

Internal Medicine in Tehachapi, CA. Individual provider (NPI-1).

NPI number1639171069
StatusActive
Last updated in NPPESDec 8, 2021

Details

NPI
1639171069
Entity type
Individual (NPI-1)
Name
Dr. Mariana Revelo
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2005
Certification date
Jan 12, 2021
Last updated
Dec 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA85386CAYes

Practice location

1100 W Tehachapi Blvd
Tehachapi, CA 93561-2563

Phone 661-398-3737

Mailing address

1100 W Tehachapi Blvd
Tehachapi, CA 93561-2563

Phone 661-398-3737

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Other Internal Medicine Physician providers in Tehachapi, CA

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