Individual
MARISA NICOLE DEXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
855 BRANNAN ST UNIT 263, SAN FRANCISCO, CA 94103-5254
(845) 637-7410
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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