Individual
MARISSA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
504 MEADE DR, CORAOPOLIS, PA 15108-9639
(412) 715-5590
Mailing address
504 MEADE DR, CORAOPOLIS, PA 15108-9639
(412) 715-5590
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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