Individual
MARISSA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 E. 3900 S. SUITE 150A, SALT LAKE, UT 84121
(801) 263-7101
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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