Individual
MARYANNE JEANNINE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP, IR
Contact information
Practice address
45 PROSPECT AVE APT 3B, BRYN MAWR, PA 19010-2633
(267) 912-5761
Mailing address
16 N BRYN MAWR AVE UNIT 187, BRYN MAWR, PA 19010-3353
(267) 912-5761
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MSG009434
PA
225700000X
Massage Therapist
Primary
MSG009434
PA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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