Individual
MYRON KIMBLE-MARVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 ARBOR DR, GLEN BURNIE, MD 21061-4203
(410) 274-7038
Mailing address
411 ARBOR DR, GLEN BURNIE, MD 21061-4203
(410) 274-7038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05303
MD
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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