Individual
MARISSA SOISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
211 E GEORGIA AVE, CONNELLSVILLE, PA 15425-2247
(724) 628-1373
Mailing address
211 E GEORGIA AVE, CONNELLSVILLE, PA 15425-2247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003217
PA
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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