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Individual

BRIGITTE S EVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
10710 LESTER ST, SILVER SPRING, MD 20902-3782
(301) 649-6046
Mailing address
10710 LESTER ST, SILVER SPRING, MD 20902-3782
(301) 649-6046

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MO1535
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACS 613-29-9200
DOL OWCP
KY
Enumeration date
07/07/2008
Last updated
07/07/2008
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