Individual
MARISSA KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 HONEYSUCKLE RD, NORFOLK, VA 23518-4514
(757) 613-6256
Mailing address
3241 WESTERN BRANCH BLVD, STE A, CHESAPEAKE, VA 23321-5260
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007273
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/17/2020
Last updated
09/03/2020
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