Individual
MS. MARILYN MARQUERITE COURCHESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
105 E ASHBY PL, SAN ANTONIO, TX 78212-5835
(210) 291-9912
Mailing address
105 E ASHBY PL, SAN ANTONIO, TX 78212-5835
(210) 291-9912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT005799
TX
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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