Individual
GREMYS MARTIN
Active
Individual
GREMYS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 61626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC# 237878
STATE OF FL DEPT. OF HEALTH DIVISION OF MEDIACAL QUALITY ASSURANCE
FL
Enumeration date
01/28/2011
Last updated
01/28/2011
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