Individual
COLVIN MARCUS MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMMP, LMT
Contact information
Practice address
228 NW 11TH AVE, BOCA RATON, FL 33486-3453
(561) 353-8950
Mailing address
228 NW 11TH AVE, BOCA RATON, FL 33486-3453
(561) 353-8950
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA92082
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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