Individual
MARCUS DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 RIDGELY AVE, ANNAPOLIS, MD 21401-1379
(443) 788-1581
Mailing address
207 RIDGELY AVE, ANNAPOLIS, MD 21401-1379
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03641
MD
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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