Search › California › 1041C0700X
Marissa Waite
NPI 1992316087 · on the registry since 2020
Practice
- Address
- 3648 El Portal Dr
Redding, CA 96002 - Phone
- (530) 722-1114
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 390200000X
101YA0400X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-31
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