Individual
MS. MARLAINE RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4154 LAFAYETTE ST, STE E, MARIANNA, FL 32446-8282
(850) 702-1793
Mailing address
2860 HIGHWAY 71, MARIANNA, FL 32446-1867
(850) 702-1793
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA54190
FL
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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