Individual
TIESHA M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 FARRAGUT AVE STE 109, KENSINGTON, MD 20895-2110
(240) 480-0741
Mailing address
3720 FARRAGUT AVE STE 109, KENSINGTON, MD 20895-2110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02194
MD
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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