MARISSA VANE

BOSTON, MA
NPI1659783868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  2446)
Enumeration Date2014-05-21
Last Update Date2014-08-08
Business Address
-- MARISSA VANE ATC, LAT
1419 COMMONWEALTH AVE APARTMENT 504
BOSTON, MA 02135-6253
Phone number: 408-398-5578
Mailing Address
-- MARISSA VANE ATC, LAT
100 ENDICOTT ST #3
BOSTON, MA 02113-1668
Phone number: 408-398-5578
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