Individual
MARISSA HOWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 ASH ST, APT 3, CALIFORNIA, PA 15419-2004
(301) 653-4979
Mailing address
4607 WATERVIEW CT UNIT 8, JB ANDREWS, MD 20762-5351
(301) 653-4979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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