Individual
MARTHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 221, GLENN DALE, MD 20769-9182
(301) 352-2991
Mailing address
12200 ANNAPOLIS RD, SUITE 221, GLENN DALE, MD 20769-9182
(301) 352-2991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04338
MD
Other
Enumeration date
01/11/2012
Last updated
02/22/2012
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