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Individual
MARISSA ANN DE LA PAZ
Active
Individual
MARISSA ANN DE LA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
313288
LA
207Q00000X
Family Medicine Physician
Primary
E-17929
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2467166
—
LA
Enumeration date
04/10/2018
Last updated
08/28/2024
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