Marisa J Martin, PA-C
Physician Assistant in Sacramento, CA. Individual provider (NPI-1).
NPI number1194472407
StatusActive
Last updated in NPPESMar 11, 2023
Details
- NPI
- 1194472407
- Entity type
- Individual (NPI-1)
- Name
- Marisa J Martin
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2022
- Certification date
- Mar 11, 2023
- Last updated
- Mar 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2725 Capitol Ave Dept 402Sacramento, CA 95816-6032
Phone 916-262-9404
Mailing address
2725 Capitol Ave Dept 402Sacramento, CA 95816-6032
Phone 916-262-9404
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