Individual
MARIAH L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3200 4TH ST N, ST. PETERSBURG, FL 33704
(727) 823-3151
Mailing address
3200 4TH ST N, ST PETERSBURG, FL 33704-2127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA81144
FL
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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