Heavenlei Monique Marsaw

NPI #1255819207 in Citrus Heights, California

Provider Information

NPI Number: 1255819207
Entity Type: Individual
Name: Heavenlei Monique Marsaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 1, 2018
Last Updated: Aug 1, 2018

Practice Location

Address: 6400 TUPELO DR
City: Citrus Heights
State: California
ZIP Code: 95621-1741
Phone: (916) 729-3098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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