MARISA LICATA

FARMINGTON HILLS, MI
NPI1790392603
Former NameMARISA VENTURA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704303831)
Enumeration Date2020-09-24
Last Update Date2025-04-07
Business Address
MARISA LICATA NP
21734 MALDEN ST
FARMINGTON HILLS, MI 48336-6041
Phone number: 248-229-0183
Mailing Address
MARISA LICATA NP
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 248-229-0183
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