Individual
MICHELE SUSONWHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMP
Contact information
Practice address
260 GATEWAY DR STE 5A, BEL AIR, MD 21014-4266
(443) 703-9815
Mailing address
5118 E JOPPA RD, PERRY HALL, MD 21128-9316
(805) 758-0503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R0888
MD
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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