Marilyn Tadiaman Pudol
NPI #1720573439 in El Segundo, California
Provider Information
- NPI Number
- 1720573439
- Entity Type
- Individual
- Name
- Marilyn Tadiaman Pudol
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 2101 ROSECRANS AVE # 3230
- City
- El Segundo
- State
- California
- ZIP Code
- 90245-4749
- Phone
- (323) 628-8671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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