MARISA D STACK

SANTA ROSA, CA
NPI1437703345
Former NameMARISA D ARELLANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  39316)
Enumeration Date2019-07-29
Last Update Date2019-07-29
Business Address
Mrs. MARISA D STACK DPT
140 WIKIUP DR
SANTA ROSA, CA 95403-7756
Phone number: 707-542-5400
Mailing Address
Mrs. MARISA D STACK DPT
2004 MIDWAY DR
SANTA ROSA, CA 95405-4930
Phone number: 415-583-7052
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