Individual
MARISSA ROSE WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
3980 OLD STERLINGTON RD APT 808, MONROE, LA 71203-2688
(636) 542-3996
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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