Individual
RETHA POKRYFKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6045 MELBOURNE AVENUE, #A, DEALE, MD 20751
(443) 203-9827
Mailing address
6045A MELBOURNE AVENUE, DEALE, MD 20751
(443) 203-9827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05092
MD
Other
Enumeration date
10/16/2013
Last updated
11/17/2013
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