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Marissa Evangelisa
NPI 1760948384 · on the registry since 2019
Practice
- Address
- 4512 Mackinaw St
Union City, CA 94587 - Phone
- (510) 364-6265
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California