MARISSA MIRAKIAN

KANSAS CITY, MO
NPI1679053706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2018032917)
Enumeration Date2018-08-17
Last Update Date2018-09-24
Business Address
MARISSA MIRAKIAN
2401 GILLHAM RD
KANSAS CITY, MO 64108
Phone number: 816-302-8547
Mailing Address
MARISSA MIRAKIAN
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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