Individual
ALISA MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 CHESTNUT COMMONS DR, ELYRIA, OH 44035-9607
(440) 204-7400
Mailing address
303 CHESTNUT COMMONS DR, ELYRIA, OH 44035-9607
(440) 204-7400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004009
OH
Other
Enumeration date
02/24/2014
Last updated
01/13/2015
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