Individual
MARILYN GERARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MORGAN DR, LAKELAND, FL 33801-2931
(813) 610-5449
Mailing address
1235 MORGAN DR, LAKELAND, FL 33801-2931
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 57742
FL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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