# MIRACLE MINERALS & MASSAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** M3 Squared
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336750124
- **Authorized official:** MISS AYANNA FEMI FEREBEE LICENSED NURSE (OWNER)
- **Authorized official phone:** (443) 435-1871

## Contact information

- **Practice address:** 111 S GILMOR ST, BALTIMORE, MD 21223-2498
- **Practice address phone:** (443) 435-1871
- **Mailing address:** 111 S GILMOR ST, BALTIMORE, MD 21223-2498
- **Mailing address phone:** (443) 435-1871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WM1400X | Nurse Massage Therapist (NMT) | — | NULL | Yes |
| 163WM1400X | Nurse Massage Therapist (NMT) | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 08/14/2020