Individual
MRS. MARISSA BRIANNA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8189 LITTLE SYDNEYS WAY, CHARLESTON, SC 29406-8922
(502) 492-9929
Mailing address
8189 LITTLE SYDNEYS WAY, CHARLESTON, SC 29406-8922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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