NPI 1003070467

Janelle Marie Marra, DO

Practitioner Family Medicine Physician Twentynine Palms, CA

Practice location

Address: 1145 Sturgis Road Magtftc McAgcc, Twentynine Palms, CA 92278-8250
Phone: (760) 830-2190
Mailing address: Box 788250 Magtftc McAgcc, Twentynine Palms, CA 92278-8250

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20A11137 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1003070467
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2008
Record last updated: 19 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.