Individual
MARLON ENRIQUE ORELLANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, RN
Contact information
Practice address
1808 W ARCTIC ST, TAMPA, FL 33604-1014
(813) 850-3456
Mailing address
1808 W ARCTIC ST, TAMPA, FL 33604-1014
(813) 850-3456
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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