MARISSA MARIE SUDOMOIN

PAOLI, PA
NPI1518624360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: PA  SP023134)
Enumeration Date2021-11-29
Last Update Date2021-11-29
Business Address
MARISSA MARIE SUDOMOIN NP
255 W LANCASTER AVE
PAOLI, PA 19301-1763
Phone number: 484-565-1601
Mailing Address
MARISSA MARIE SUDOMOIN NP
255 W LANCASTER AVE
PAOLI, PA 19301-1763
Phone number: 484-565-1601