Individual
ALEXANDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7130 MINSTREL WAY STE 160, COLUMBIA, MD 21045-5336
(410) 312-9922
(410) 312-9923
Mailing address
7130 MINSTREL WAY STE 160, COLUMBIA, MD 21045-5336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M05731
LICENSED MASSAGE THERAPIST
MD
Enumeration date
05/26/2021
Last updated
05/26/2021
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