Individual
MARCHELLAR BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 62ND AVE S, D4, ST PETERSBURG, FL 33705-5648
(727) 612-1993
(727) 623-4109
Mailing address
1030 62ND AVE S, D4, ST PETERSBURG, FL 33705-5648
(727) 612-1993
(727) 623-4109
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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