MARISSA GARDNER
Technician, Other
Active
Individual
NPI: 1306332010
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | No | DT0005 (OR) |
| Technician, Other | 247200000X | Yes | - |
Frequently Asked Questions
NPI 1306332010 is the National Provider Identifier for MARISSA GARDNER, a Technician, Other provider located in Coos Bay, OR. This NPI was enumerated on July 5, 2018.
MARISSA GARDNER practices at 1245 FULTON AVE, Coos Bay, OR 97420.
Quick Facts
- NPI
- 1306332010
- Type
- Individual
- Enumerated
- Jul 5, 2018
- Last Updated
- Sep 17, 2024
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