Individual
MS. MARISSA QUINN RUZICKA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 SE ASH AVE, COLLEGE PLACE, WA 99324-1187
(509) 525-5110
Mailing address
1625 MELROSE ST, WALLA WALLA, WA 99362-1476
(509) 200-1580
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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