Individual
MARISSA KUBOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8000
Mailing address
445 LONDON COURT II, EGG HARBOR TOWNSHIP, NJ 08234-5004
(949) 212-9021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN676442
PA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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