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Individual

MRS. ANDREA ROBINSON LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C. M. T.

Contact information

Practice address
1207 VALLEY DR, HYATTSVILLE, MD 20782-2325
(301) 559-5428
(301) 559-3004
Mailing address
1207 VALLEY DR, HYATTSVILLE, MD 20782-2325
(301) 559-5428
(301) 559-3004

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M01894
MD

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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