Individual
MR. RAYMOND MARISCAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 US HIGHWAY 93 S, SUITE 205, KALISPELL, MT 59901-5721
(406) 752-6798
Mailing address
1845 US HIGHWAY 93 S, SUITE 205, KALISPELL, MT 59901-5721
(406) 752-6798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173
STATE OF MONTANA, DEPARTMENT OF LABOR AND INDUSTRY
MT
Enumeration date
07/14/2010
Last updated
07/14/2010
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