Individual
MARISSA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, PHDH
Contact information
Practice address
125 W COLUMBIAN BLVD S, LITCHFIELD, IL 62056-3021
(217) 250-2360
Mailing address
12228 MEISENHEIMER AVE, HILLSBORO, IL 62049-3004
(217) 556-5014
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020016072
IL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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