Individual
MARIAH ELLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2369 FERNVIEW DR, ORANGE PARK, FL 32065-7203
(904) 505-4982
Mailing address
2369 FERNVIEW DR, ORANGE PARK, FL 32065-7203
(904) 505-4982
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103270
FL
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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