Individual
JEREMY BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, L.AC, M.AC
Contact information
Practice address
3401 CHESTNUT AVE STE R, BALTIMORE, MD 21211-2585
(720) 201-4729
Mailing address
4301 BUCHANAN AVE, APT. B, BALTIMORE, MD 21211-1216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
UI02152
MD
225700000X
Massage Therapist
M04891
MD
Other
Enumeration date
07/29/2015
Last updated
10/09/2018
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