Individual
MRS. JILL HOLEN WITKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8045 HILLRISE CT, ELKRIDGE, MD 21075-6465
(410) 799-4571
Mailing address
8045 HILLRISE CT, ELKRIDGE, MD 21075-6465
(410) 799-4571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M00576
MD
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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