Individual
MS. MARISA LAEL CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
430 E LAURIDSEN BLVD, #113, PORT ANGELES, WA 98362-7978
(360) 457-7576
(360) 452-8079
Mailing address
152 W HENDRICKSON RD, #1, SEQUIM, WA 98382-3162
(360) 797-4694
(360) 452-8079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60258342
WA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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