Provider Demographics
NPI:1003533043
Name:FROHNING, MARISSA SUE PAKALANA
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:SUE PAKALANA
Last Name:FROHNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 N 199TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3715
Mailing Address - Country:US
Mailing Address - Phone:360-572-7025
Mailing Address - Fax:
Practice Address - Street 1:1610 N 199TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3715
Practice Address - Country:US
Practice Address - Phone:360-572-7025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist