MARISA LOUISE SHAKER

WATERBURY, CT
NPI1659306314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  001133)
Enumeration Date2006-07-11
Last Update Date2022-09-23
Business Address
MARISA LOUISE SHAKER PA
56 FRANKLIN ST
WATERBURY, CT 06706-1221
Phone number: 203-709-3538
Mailing Address
MARISA LOUISE SHAKER PA
PO BOX 1090
WINDSOR, CT 06095-6190
Phone number: 203-709-3800