Individual
MS. JESSICA L LIU-KEBAILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3200 WEEPING WILLOW CT APT 42, ASPEN HILL, MD 20906-2567
(240) 440-1094
Mailing address
13 JERMAE STREET, THURMONT, MD 21788
(240) 440-1094
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019014538
VA
225700000X
Massage Therapist
M
DC
225700000X
Massage Therapist
Primary
MT2020
DC
225700000X
Massage Therapist
R01808
MD
Other
Enumeration date
05/19/2016
Last updated
10/02/2024
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