MRS. Marissa Brianna Allen

NPI #1013770395 in Charleston, South Carolina

Provider Information

NPI Number: 1013770395
Entity Type: Individual
Name: MRS. Marissa Brianna Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 31, 2024
Last Updated: Jan 31, 2024

Practice Location

Address: 8189 LITTLE SYDNEYS WAY
City: Charleston
State: South Carolina
ZIP Code: 29406-8922
Phone: (502) 492-9929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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