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Individual
MARISSA CALDARELLA
Active
Individual
MARISSA CALDARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86007582
MN
363A00000X
Physician Assistant
Primary
PA61211939
WA
363AS0400X
Surgical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
10/27/2015
Last updated
10/13/2023
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