Individual
MALISSA ANN LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 CLARITY RD, SUITE 100, MT PLEASANT, SC 29464-3138
(843) 793-5437
(843) 375-1487
Mailing address
1101 CLARITY RD, SUITE 100, MT PLEASANT, SC 29464-3138
(843) 793-5437
(843) 375-1487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA635
SC
Other
Enumeration date
08/13/2006
Last updated
03/07/2022
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