| NPI | 1285309427 |
|---|---|
| Doing Business As | COLONICS & MASSAGE OF MARIANNA, LLC |
| Entity Type | Organization |
| Authorized Contact | DELORIS A BROCKNER Owner 850-526-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |