Marissa Russell
Marissa Russell is a Student in an Organized Health Care Education/Training Program in Lowell, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
10 George St Ste 310Lowell, MA 01852-2293
Phone: (978) 452-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1230 Bridge St, Lowell, MA 01850-1291 — (978) 955-5955
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1467051797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2020 |
| Last updated in NPPES | October 19, 2020 |
| Certification date | October 19, 2020 |
| Mailing address | 10 George St Ste 310, Lowell, MA 01852-2293 |
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