Most Relevant Information
Provider Data
| NPI Number: | 1003583436 |
| Provider Name: | FREDERICK V MARINO |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95222642 |
Most Important Dates
| Enumeration Date: | 08/24/2021 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
1305 N MARTIN AVE
TUCSON
AZ
857210001
Practice Location Phone/Fax
| Phone: | 5206263808 |
| Fax: |
Provider Mailing Location
8690 SIERRA COLLEGE BLVD STE 160-324
ROSEVILLE
CA
956615961
Provider Mailing Phone/Fax
| Phone: | 8623542049 |
| Fax: |