Individual
MARRA F CARISSIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4402 N 34TH ST, TACOMA, WA 98407-4728
(253) 732-9700
Mailing address
4402 N 34TH ST, TACOMA, WA 98407-4728
(253) 732-9700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023542
WA
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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