MS. Emmanuelle Marie Mariano Ganzon
NPI #1063134518 in East Los Angeles, California
Provider Information
- NPI Number
- 1063134518
- Entity Type
- Individual
- Name
- MS. Emmanuelle Marie Mariano Ganzon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 12, 2022
- Last Updated
- Sep 12, 2022
Practice Location
- Address
- 607 S ATLANTIC BLVD
- City
- East Los Angeles
- State
- California
- ZIP Code
- 90022-3211
- Phone
- (213) 327-7828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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