Individual
MS. MARY KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RYAN PL, BEVERLY, MA 01915-3970
(978) 430-2820
Mailing address
5 RYAN PL, BEVERLY, MA 01915-3970
(978) 430-2820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2846
MA
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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