Individual
MR. SHELBY BRITTEN HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
515 TAILGATE TER, HYATTSVILLE, MD 20785-4795
(618) 334-0403
Mailing address
515 TAILGATE TER, HYATTSVILLE, MD 20785-4795
(618) 334-0403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06130
MD
225700000X
Massage Therapist
MT2537
DC
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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