Individual
MARISSA GANEKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 S INTERSTATE 35, STE A 225, AUSTIN, TX 78748-3885
(512) 280-0201
Mailing address
9900 S INTERSTATE 35, STE A 225, AUSTIN, TX 78748-3885
(512) 280-0201
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80613
TX
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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