Marissa Warren

NPI #1245620152 in Demotte, Indiana

Provider Information

NPI Number: 1245620152
Entity Type: Individual
Name: Marissa Warren
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 809 DOGWOOD ST NW
City: Demotte
State: Indiana
ZIP Code: 46310-9549
Phone: (219) 775-8938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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