Individual
MARISSA FAITH HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(800) 872-2273
Mailing address
7741 NEW SALEM ST, SAN DIEGO, CA 92126-2042
(858) 531-7356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2255A2300X
—
Other
Enumeration date
03/20/2024
Last updated
09/07/2025
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