Individual
MARISSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13331 N MACARTHUR BLVD APT 218, OKLAHOMA CITY, OK 73142-8804
(580) 747-8717
Mailing address
13331 N MACARTHUR BLVD APT 218, OKLAHOMA CITY, OK 73142-8804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
210446
TX
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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