Individual
MARISSA GONZALEZ-JARVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 BAINBRIDGE DR, EAST LANSING, MI 48823-1928
(517) 898-4599
Mailing address
618 BAINBRIDGE DR, EAST LANSING, MI 48823-1928
(517) 898-4599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704257160
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257160
MI
Other
Enumeration date
03/16/2015
Last updated
12/13/2018
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