Individual
MARISSA LIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
221 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3120
(201) 843-3633
Mailing address
221 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3120
(201) 843-3633
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00119500
NJ
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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