Most Relevant Information
Provider Data
| NPI Number: | 1003687963 |
| Provider Name: | MARIE NORTHRUP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2024 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
441 N MAIN ST
ALTURAS
CA
961013457
Practice Location Phone/Fax
| Phone: | 5302336312 |
| Fax: | 5302336339 |
Provider Mailing Location
441 N MAIN ST
ALTURAS
CA
961013457
Provider Mailing Phone/Fax
| Phone: | 5302336312 |
| Fax: | 5302336339 |