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Mariela Ventocilla
NPI 1972846756 · on the registry since 2013
Practice
- Address
- 1145 Sturgis Road
Twentynine Palms, CA 92277 - Phone
- (916) 734-2356
- Organisation at this address
- Nh Twentynine Palms
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 89
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 171000000X
390200000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California