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Individual

MRS. GERALDINE ISABELL MARKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.,REFLEXOLOGIST

Contact information

Practice address
79 MASHAMOQUET RD, POMFRET CENTER, CT 06259-1812
(860) 963-0846
Mailing address
79 MASHAMOQUET RD, POMFRET CENTER, CT 06259-1812
(860) 963-0846

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003718
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
980003718CT01
ANTHEM BLUE CROSS
CT
Enumeration date
01/28/2009
Last updated
01/28/2009
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