Marlyce Black, LMP

NPI #1376975771 in Tulalip, Washington

Provider Information

NPI Number: 1376975771
Entity Type: Individual
Name: Marlyce Black, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 6709 22ND DR NE
City: Tulalip
State: Washington
ZIP Code: 98271-9108
Phone: (425) 530-6172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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