Marissa Chantorn
NPI #1831883008 in Manhattan Beach, California
Provider Information
- NPI Number
- 1831883008
- Entity Type
- Individual
- Name
- Marissa Chantorn
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 8, 2023
- Last Updated
- Jun 8, 2023
Practice Location
- Address
- 1101 N SEPULVEDA BLVD STE 201
- City
- Manhattan Beach
- State
- California
- ZIP Code
- 90266-5963
- Phone
- (877) 859-2341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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