Individual
MARISSA LYNNE WALASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
855 COSHOCTON AVE # H, MOUNT VERNON, OH 43050-1975
(740) 326-6552
Mailing address
PO BOX 147, SAINT LOUISVILLE, OH 43071-0147
(614) 557-9159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007257RX
OH
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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