Individual
MARISSA STEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 S DECATUR BLVD, 1097, LAS VEGAS, NV 89103-5813
(720) 252-9386
Mailing address
3625 S DECATUR BLVD, 1097, LAS VEGAS, NV 89103-5813
(720) 252-9386
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/28/2010
Last updated
09/07/2023
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