Individual
MR. MAX MARSEILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5410 PAPER MILL RD, LAKE WORTH, FL 33463
(561) 670-0355
Mailing address
5410 PAPER MILL RD, LAKE WORTH, FL 33463
(561) 670-0355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA72875
FL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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