Individual
MRS. MARISA ANGELINA TERRAZAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOC
Contact information
Practice address
1416 RAMPART DR, ROSEVILLE, CA 95661-4749
(650) 814-7466
Mailing address
1416 RAMPART DR, ROSEVILLE, CA 95661-4749
(650) 814-7466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
02020269
CA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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