Marisa Rene Fullgrapp, PA-C

NPI #1992399026 in Bradenton, Florida

Provider Information

NPI Number
1992399026
Entity Type
Individual
Name
Marisa Rene Fullgrapp, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 1, 2021
Last Updated
Mar 1, 2021

Practice Location

Address
6110 STATE ROAD 70 E
State
Florida
ZIP Code
34203-9712
Phone
(941) 755-4242

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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