Individual
MS. JEANNIE GUERELLE MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1414 MISSOURI AVE, LYNN HAVEN, FL 32444
(850) 271-4289
Mailing address
PO BOX 415, LYNN HAVEN, FL 32444
(850) 271-4289
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24984
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8053
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
11/15/2006
Last updated
07/08/2007
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