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Individual

MARCEL AMBER PETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3420 DUCK AVE, KEY WEST, FL 33040-4427
(305) 296-5358
(305) 293-1146
Mailing address
3420 DUCK AVE, KEY WEST, FL 33040-4427
(305) 296-5358

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA29730
MASSAGE THERAPIST
Enumeration date
06/13/2019
Last updated
06/13/2019
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