Mark Gerard Lattimore

NPI #1629741509 in Randolph, Massachusetts

Provider Information

NPI Number: 1629741509
Entity Type: Individual
Name: Mark Gerard Lattimore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 27, 2021
Last Updated: Jul 27, 2021

Practice Location

Address: 10 MAZZEO DR STE 204
City: Randolph
State: Massachusetts
ZIP Code: 02368-3433
Phone: (508) 904-3491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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