Individual
MARNELLE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
619 GRAY WILSON RD, COLFAX, NC 27235-9727
(706) 889-9226
Mailing address
619 GRAY WILSON RD, COLFAX, NC 27235-9727
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00039997
WA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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