Individual
MARISSA WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 HAMILTON ST, JACKSONVILLE, FL 32210-2076
(904) 728-8955
Mailing address
5854 DICKSON RD, JACKSONVILLE, FL 32211-4600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
85030
FL
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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