NPI 1063904191

Marisa Elizabeth Tetreault

Practitioner Other Technician Columbia, SC

Practice location

Address: 612 Devine St Unit 434, Columbia, SC 29201-5276
Phone: (704) 473-5172

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in South Carolina →

Registry record

NPI: 1063904191
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2018
Record last updated: 4 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.