Marietta Formoso Light, NP-C is an obstetrics and gynecology nurse practitioner in Clovis, CA. Marietta Formoso Light, NP-C NPI is 1750368650. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
782 MEDICAL CENTER DR E STE 212
CLOVIS, CA
ZIP 93611-889
Phone: (559) 451-3676
Fax: (559) 451-3680
The NPI 1750368650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 12/30/2005 and was last updated on 10/8/2020.