Most Relevant Information
Provider Data
| NPI Number: | 1003070467 |
| Provider Name: | JANELLE MARIE MARRA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 20A11137 |
Most Important Dates
| Enumeration Date: | 07/15/2008 |
| Last Updated: | 08/19/2011 |
Provider Practice Location
1145 STURGIS ROAD
MAGTFTC MCAGCC
TWENTYNINE PALMS
CA
922788250
Practice Location Phone/Fax
| Phone: | 7608302190 |
| Fax: |
Provider Mailing Location
BOX 788250
MAGTFTC MCAGCC
TWENTYNINE PALMS
CA
922788250
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR