Marisa Nicole Dexter

NPI #1275024168 in Citrus Heights, California

Provider Information

NPI Number: 1275024168
Entity Type: Individual
Name: Marisa Nicole Dexter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: May 25, 2018
Last Updated: May 25, 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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