Individual
MARISSA KUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 343-6642
Mailing address
1161 21ST AVE S, CCC-4322 MCN, NASHVILLE, TN 37232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
05/12/2021
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