Individual
MARISSA LYNN STPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 S CLEARVIEW PKWY, SUITE 104, JEFFERSON, LA 70121-1015
(504) 736-4800
Mailing address
1201 S CLEARVIEW PKWY, SUITE 104, JEFFERSON, LA 70121-1015
(504) 736-4800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013288
LA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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