Individual
KAYLA MARSICANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 671-4487
Mailing address
4607 ROCK STREAM DR, CHARLOTTE, NC 28269-7150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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