Individual
MRS. MARISSA BORROMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4914 INVERNESS DR, TYLER, TX 75703-2604
(903) 534-5653
(903) 534-5653
Mailing address
4914 INVERNESS DR, TYLER, TX 75703-2604
(903) 534-5653
(903) 534-5653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1059202
TX
Other
Enumeration date
06/07/2009
Last updated
06/07/2009
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