Individual
MARIANNE FAZIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 W ALLENS LN, PHILADELPHIA, PA 19119-1638
(267) 300-8904
Mailing address
11 W ALLENS LN, PHILADELPHIA, PA 19119-1638
(267) 300-8904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014087
PA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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