Individual
MARLON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(314) 302-9324
Mailing address
1362 S 5TH ST, SAINT CHARLES, MO 63301-2444
(314) 302-9324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006023990
MO
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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