Marissa Gall
Marissa Gall is a Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
10108 74th StKenosha, WI 53142-7514
Phone: (262) 694-6101
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1720779739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 14, 2023 |
| Mailing address | 10108 74th St, Kenosha, WI 53142-7514 |
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