Individual
ANGELA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1125 BLACKBIRD CT, BURLESON, TX 76028-0602
(817) 295-2484
Mailing address
105 W ELLISON ST, BURLESON, TX 76028-4246
(817) 933-8556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT112594
TX
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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