MARISSA ROSE LEAVERSUCH

REVERE, MA
NPI1538318993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MA  RN260274)
Enumeration Date2008-09-10
Last Update Date2019-07-03
Business Address
MARISSA ROSE LEAVERSUCH CPNP
280 BEACH STREET
REVERE, MA 02151
Phone number: 781-289-5057
Mailing Address
MARISSA ROSE LEAVERSUCH CPNP
280 BEACH STREET
REVERE, MA 02151
Phone number: 781-289-5057
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