Individual
MARYANN T WALLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 ATLANTIC BLVD # 521, ATLANTIC BEACH, FL 32233-3313
(843) 802-9880
Mailing address
1015 ATLANTIC BLVD # 521, ATLANTIC BEACH, FL 32233-3313
(843) 802-9880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103589
FL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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