Marshauna Mariah Butler
Student in an Organized Health Care Education/Training Program in Bowie, MD. Individual provider (NPI-1).
NPI number1205373594
StatusActive
Last updated in NPPESJan 24, 2017
Details
- NPI
- 1205373594
- Entity type
- Individual (NPI-1)
- Name
- Marshauna Mariah Butler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2017
- Last updated
- Jan 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
15706 Piller LnBowie, MD 20716-1449
Phone 301-974-4937
Mailing address
15706 Piller LnBowie, MD 20716-1449
Phone 301-974-4937
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