MS. MARISA TETREAULT
Technician, Other
Active
Individual
NPI: 1063904191
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician, Other | 247200000X | Yes | - |
Frequently Asked Questions
NPI 1063904191 is the National Provider Identifier for MS. MARISA TETREAULT, a Technician, Other provider located in Columbia, SC. This NPI was enumerated on June 4, 2018.
MS. MARISA TETREAULT practices at 612 DEVINE ST UNIT 434, Columbia, SC 29201.
Quick Facts
- NPI
- 1063904191
- Type
- Individual
- Enumerated
- Jun 4, 2018
- Last Updated
- Jun 4, 2018
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