Marissa Nicole Maeder

NPI #1275068660 in Malta, Illinois

Provider Information

NPI Number: 1275068660
Entity Type: Individual
Name: Marissa Nicole Maeder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 205 S 6TH ST
City: Malta
State: Illinois
ZIP Code: 60150-9703
Phone: (815) 761-8707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other	246Z00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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