Marty, Talitha L

Marty, Talitha L is an individual health care provider with primary practice located at 333 Laws Ave , Ukiah CA 95482-6540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Marty, Talitha L can be contacted via phone (707) 468-1010.

Contact Information

Primary practice address
333 Laws Ave Ukiah CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18588 California

Profile Details

NPI number 1952469108
LBN Legal business name Marty, Talitha L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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