Individual
MARISSA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1080 MARINA VILLAGE PKWY, SUITE #100, ALAMEDA, CA 94501-6427
(510) 337-7950
Mailing address
1080 MARINA VILLAGE PKWY, SUITE #100, ALAMEDA, CA 94501-6427
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
743792
CA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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