Individual
MARISSA SIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3150 CARLISLE BLVD NE STE 105229, ALBUQUERQUE, NM 87110-1678
(505) 633-8173
Mailing address
3150 CARLISLE BLVD NE STE 105229, ALBUQUERQUE, NM 87110-1678
(505) 633-8173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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