Individual
MS. MARISSA ROSE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
11111 ALEMANY DR, MISSION HILLS, CA 91345-1105
(818) 365-2935
Mailing address
11111 ALEMANY DR, MISSION HILLS, CA 91345-1105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000015889
CA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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