Individual
MARSHALL PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 FREDERICK ST, SANTA CRUZ, CA 95062-2635
(831) 824-4591
Mailing address
545 FREDERICK ST, SANTA CRUZ, CA 95062-2635
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
37464
CA
Other
Enumeration date
05/29/2016
Last updated
08/21/2016
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