Individual
MARISA J HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(253) 862-2822
Mailing address
9002 186TH AVE E APT E307, BONNEY LAKE, WA 98391-8747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61199497
WA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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