Individual
MARVIN STACY WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 DANIELS CREEK RD, COLLINSVILLE, VA 24078-2912
(276) 340-1033
Mailing address
40 ANTLER TRL, MARTINSVILLE, VA 24112-8026
(276) 340-1033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
577808-09
VA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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