Individual
MARISSA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 KRYS VIEW DR, BRUCETON MILLS, WV 26525-9771
(724) 970-7469
Mailing address
47 KRYS VIEW DR, BRUCETON MILLS, WV 26525-9771
(724) 970-7469
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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