Individual
MS. MARISSA JEANETTE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7116 STINSON AVE STE B315, GIG HARBOR, WA 98335-1100
(253) 858-3457
(253) 853-4265
Mailing address
621 132ND ST NW, GIG HARBOR, WA 98332-9646
(253) 858-9969
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006241
WA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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