Individual
MARISSA SANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1098 W BALTIMORE PIKE, STE 3106, MEDIA, PA 19063-5139
(610) 891-6240
(610) 891-6244
Mailing address
1098 W BALTIMORE PIKE, STE 3106, MEDIA, PA 19063-5139
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW010394
PA
Other
Enumeration date
03/14/2016
Last updated
11/20/2019
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