Individual
MARISSA ANN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
W165N10632 WAGON TRL, GERMANTOWN, WI 53022-4159
(262) 623-8701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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