Healthcare Provider Details

I. General information

NPI: 1942971650
Provider Name (Legal Business Name): MS. HANNAH JOSEPHINE MAROZIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 SHAW AVE STE 105
CLOVIS CA
93611-4072
US

IV. Provider business mailing address

PO BOX 1679 #3561
SACRAMENTO CA
95812
US

V. Phone/Fax

Practice location:
  • Phone: 559-314-0623
  • Fax:
Mailing address:
  • Phone: 559-387-4099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: