Organization
MARISSAM MEDICAL INC.
Active
Organization
MARISSAM MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA J MOTLEY (OWNER)
(424) 675-4222
Entity
Organization
Contact information
Practice address
13508 INGLEWOOD AVE, HAWTHORNE, CA 90250
(424) 675-4222
(424) 675-4224
Mailing address
13508 INGLEWOOD AVE, HAWTHORNE, CA 90250-5604
(424) 675-4222
(424) 675-4224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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