Individual
ACTAVIA MARISSA CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
397 KUNKEL AVE, HUMMELSTOWN, PA 17036-9337
(717) 558-8228
Mailing address
397 KUNKEL AVE, HUMMELSTOWN, PA 17036-9337
(717) 558-8228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA66694
FL
225700000X
Massage Therapist
Primary
MSG010374
PA
Other
Enumeration date
10/11/2017
Last updated
09/06/2019
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