Individual
ELIZABETH MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196872901
—
TX
Enumeration date
08/05/2014
Last updated
08/05/2014
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