Individual
MARLON ENRIQUE ORELLANA
Active
Individual
MARLON ENRIQUE ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, RN
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
38987A
PR
225700000X
Massage Therapist
Primary
MA75245
FL
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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