| NPI | 1740044635 |
|---|---|
| Other Name | MARCUS IGLEHART |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 76170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 8171941) |
| 101YP2500X Counselor, Professional (Licence: MT 69961) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-12-23 |