MARISA DIANNA MACK

TACOMA, WA
NPI1447190129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  RN61087194)
Enumeration Date2026-03-31
Last Update Date2026-03-31
Business Address
MARISA DIANNA MACK
12180 PARK AVE S
TACOMA, WA 98447-0001
Phone number: 253-535-7411
Mailing Address
MARISA DIANNA MACK
12180 PARK AVE S
TACOMA, WA 98447-0001
Phone number: 253-535-7411
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