Individual
MARCUS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 HUGUENOT RD STE 106, NORTH CHESTERFIELD, VA 23235-4311
(804) 651-1614
Mailing address
1401 RANSCO RD, NORTH CHESTERFIELD, VA 23235-6230
(804) 651-1614
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010683
VA
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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