Individual
MARISA LEIGH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3432 HOLLAND RD, VIRGINIA BEACH, VA 23452-4846
(757) 468-1855
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006161
VA
Other
Enumeration date
05/09/2007
Last updated
08/20/2019
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