Individual
TIDIANE IDABO ZERBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 ROLLINS AVE, ROCKVILLE, MD 20852-4112
(240) 381-3066
Mailing address
610 ROLLINS AVE, ROCKVILLE, MD 20852-4112
(240) 381-3066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019008292
VA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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