Organization
RENEWED BEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH RODNEY WASHINGTON (LMT)
(443) 913-2074
Entity
Organization
Contact information
Practice address
5735 ROWANBERRY DR APT 212, ELKRIDGE, MD 21075-5412
(410) 234-2050
Mailing address
6030 MARSHALEE DR # 677, ELKRIDGE, MD 21075-5987
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05380
MD
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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