MARISSA SUZANNE MALENKOS

INDIANAPOLIS, IN
NPI1073153219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28174774A)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
MARISSA SUZANNE MALENKOS
2020 W 86TH ST STE 306
INDIANAPOLIS, IN 46260-1931
Phone number: 317-602-1965
Mailing Address
MARISSA SUZANNE MALENKOS
8929 SOURWOOD CT
INDIANAPOLIS, IN 46260-1544
Phone number: 317-760-6926