Individual
MARISA KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
1448 BRETT PL UNIT 45, SAN PEDRO, CA 90732-5109
(716) 213-3613
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95024856
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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