Individual
JERMAINE T NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1938 PALONIA CT, ODENTON, MD 21113-2929
(618) 741-1131
Mailing address
1938 PALONIA CT, ODENTON, MD 21113-2929
(618) 741-1131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05377
MD
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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