SearchIndiana374J00000X

Marcista Northern

NPI 1891404851 · on the registry since 2022 · sole proprietor

Practice

Address
2670 Prescott Dr
Mishawaka, IN 46544
Phone
(817) 936-1542

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-18

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 Indiana